Senior Pharmacy PA/Appeals Technician - Remote in IL, WI, IA or TN
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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.
The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.
If you reside near IL, WI, IA or TN, you will enjoy the flexibility to telecommute as you take on some tough challenges.
Primary Responsibilities:
Additional Qualifications/Responsibilities:
Patient Safety & Quality Initiatives:
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:
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.
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Required Qualifications:
- Must have one of the following active and unrestricted licensure/certifications:
- Pharmacy Technicians Certification Board (PTCB)
- State Board of Pharmacy licensure in state of residence
- ExCPT - Pharmacy Technician Certification with National Healthcareer Association (NHA)
- The National Board of Prior Authorization Specialist
- 6+ months of experience with customer service/customer relations with healthcare professionals
- Basic level of proficiency with Microsoft Excel (ability to create, edit and save basic spreadsheet), Microsoft Word (ability to create, edit and save a basic document), and Microsoft Outlook (ability to send emails)
- Currently located in Illinois, Wisconsin, Iowa or Tennessee
- Ability to work any shift from 5:00 AM to 12:00 AM timeframe with flexible hours, including OT and weekends
Preferred Qualifications:
- Knowledge of Call Center systems such as CMS, IEX, CTI and TCS
Soft Skills:
- Experience and strong communication skills, both written and oral that will help improve the Net Promoter Survey (NPS)
- Ability to follow through on tasks
- Physical Requirements and Work Environment:
- Frequent speaking, listening using a headset, sitting, using hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
- Ability to have their own home internet access (internet can be hard wired with ethernet cord)
- Have a secure workspace/office in their home
- Have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
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 $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
#RPO #GREEN
Perks and Benefits
Health and Wellness
- HSA
- On-Site Gym
- HSA With Employer Contribution
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
Parental Benefits
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
Work Flexibility
- Remote Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Leave of Absence
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Relocation Assistance
- Performance Bonus
- Stock Purchase Program
- 401(K) With Company Matching
- 401(K)
Professional Development
- Promote From Within
- Shadowing Opportunities
- Access to Online Courses
- Tuition Reimbursement
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
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