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.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM

You will enjoy the flexibility to telecommute from anywhere within the U.S as you take on some tough challenges.

Primary Responsibilities:

Conducts in-bound and out-bound calls for program requirements including, but not limited to medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls in a call center environment
Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
Exhibits excellent phone and communication skills while providing complete and accurate information to customers.
Receives and responds to escalated inquiries from all communication venues: e.g., task queues, portal, claim queue, department documentation platform
Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner
Provide support to internal staff and providers with respect to Medicare drug related issues; request additional or supplemental information via correspondence to complete applications
Provides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reports
Adheres to assigned schedule and quality metrics
Completes calls/assignments and ensures census management, daily, weekly, and monthly productivity standards are met
Provides clerical and/or administrative support to pharmacy staff and managers for special projects and reports
Provides excellent customer service by serving as a resource to all internal and external customers
Participate in and contribute to the overall pharmacy quality improvement initiatives
Assist in training for new hires and internal staff
Attends required meetings and required participation in special committees as needed
Performs other duties as assigned
Ability to work independently, with some supervision and direction from manager
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 always include both personal conduct and appearance
Ability to always maintain strict confidentiality to include but limited to patients and coworkers
Compliance with all organizational policies regarding ethical business practices
Ability to work independently, with some supervision and direction from manager
Must adhere to all department policies and procedures
Ability to work any schedule between 8am-8pm CST with the possible inclusion of Saturdays in the future
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

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Soft Skills:

Ability to handle / diffuse escalated issues professionally
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 always include both personal conduct and appearance
Ability to always maintain strict confidentiality to include but limited to patients and coworkers
Compliance with all organizational policies regarding ethical business practices
Adhere to all department policies and procedures
Ability to work independently, with some supervision and direction from manager

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 / GED (or higher)
6+ months of administrative support experience
6+ months of experience in a pharmacy/medical/healthcare setting
6+ months of call center experience
6+ months of experience with medical terminology
Basic level of proficiency with Microsoft Office products, including Word and Outlook
Ability to work an 8-hour shift Monday - Friday 8am-8pm CST with the possible inclusion of Saturdays in the future on a rotating basis
Access to a dedicated work area established that is separated from other living areas and provides information privacy to keep all company sensitive documents secure (if applicable)

Preferred Qualifications:

Certified and/or Registered Pharmacy Technician
2+ years of experience in a pharmacy setting
Certified Medical Assistant (training or certification)
2+ years of experience in a physician's clinic or hospital
Bilingual language proficiency (English/Spanish)

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

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.

#RPO, #GREEN

Associate Pharmacy Care Coordinator

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