Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
Responsible for providing integrated support under the supervision of a pharmacist to Optum clinicians and patients by managing refill requests and prior authorizations, conducting therapeutic drug conversions and supporting pharmacy wellness programs.
Hours: Monday-Friday, 8:00am-5pm PST with rotating Sundays every 4-6 weeks
Location: Remote
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each internal and external customer
- Develop proficiencies in utilizing Epic EMR
- Works with others as part of the team and a member of the Pharmacy Support Center by processing medication refill requests per protocol, facilitating non-protocol refill requests, obtaining prior authorizations and resolving other medication refill related cost issues or problems
- Enters prescription information into the computer system, including searching for patient records, identifying prescribers, reviewing charts and lab information, choosing medications, interpreting prescriptions, and ensuring accurate documentation within Epic EMR
- Accurately review and process electronic prescriptions, faxed prescriptions, MyChart renewals, and additional medication related requests per department guidelines and procedures
- Assists in management of pharmacy department pools, managing open encounters and in-basket messages
- Responsible for understanding pharmacy benefits, identifying correct insurance, reviewing health plan formularies and processing prior authorizations for medications that are not covered by patient's insurance
- Participates in therapeutic drug conversion programs per protocol, documenting drug conversions in the electronic medical record, notifying providers of drug conversions
- Assists in Pharmacy Quality Initiatives:
- Medication adherence programs (i.e. reviewing lists, calling pharmacy or patients, etc.)
- Managing quality lists
- Documentation
- Closing administrative gaps
- Updates job knowledge by participating in educational opportunities and reading professional publications
- Works independently and able to manage multiple tasks simultaneously without review by others
- Solves routine problems on own; works with supervisor to solve more complex problems
- Prioritizes and organizes own work to meet department deadlines, productivity metrics, and/or turnaround times
- Participates in process improvement initiatives and departmental meetings
- Complies with established departmental policies, procedures, and objectives
- Consistent, dependable, and expected attendance is required
- Performs additional duties as required or directed by department leads and supervisors
- Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma/GED
- Current California State Board of Pharmacy Technician license
- If residing outside of California, must hold an active Pharmacy Technician license in state of residence
- Pharmacy Technician Certification Board (PTCB) certification
- 1+ years of experience working as a Pharmacy Technician
- Intermediate level of proficiency with Windows and Microsoft applications (Microsoft Word, Microsoft Excel)
Preferred Qualifications:
- Previous experience with EPIC
- Prior authorization experience
- Drug class knowledge
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
***Application Deadline:*This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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