Associate Pharmacy Care Coordinator

Position Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

The Quality Pharmacy Operations Care Team Associate (CTA) will effectively support the successful implementation and execution of all pharmacy programs and processes. The Care Team Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Care Team Associate will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.

Primary Responsibilities:

  • Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
  • Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff
  • Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
  • Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
  • Collects and maintains eligibility information in an appropriate and confidential manner.
  • Interviews applicants by phone for program requirements
  • Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
  • Exhibits excellent phone and communication skills while providing complete and accurate information to customers
  • Requests additional or supplemental information via correspondence in order to complete applications
  • Adheres to assigned schedule and quality metrics
  • Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
  • Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
  • Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
  • Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participates in special committees as needed
  • Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 or GED
  • 2+ years of administrative support experience
  • 6 months in a medical/healthcare setting
  • Basic knowledge of Microsoft Office products, including Word and Outlook
  • Ability to work independently, with some supervision and direction from manager
  • Medical terminology knowledge base


Preferred Qualifications:

  • Certified Medical Assistant training or certification
  • 2+ years of experience in a physician's clinic or hospital
  • Bilingual language proficiency (English/Spanish)
  • Call Center experience
  • Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
  • Demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
  • Ability to maintain strict confidentiality at all times to include but limited to patients and coworkers
  • Compliance with all organizational policies regarding ethical business practices
  • Adhere to all department policies and procedures


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: pharmacy, healthcare, medical, call center, customer service, medical assistant, CMA


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