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Associate Pharmacy Care Coordinator - Remote

Company: UnitedHealth Group
Location: San Jose
Posted on: March 18, 2023

Job Description:

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) -

The Associate Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. -The Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.

If you are located in Central Time Zone, you will have the flexibility to work remotely* 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
  • 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 to validate correct billing. 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 in order 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
  • 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
    • 6+ months of administrative support experience
    • 6+ months in a pharmacy/medical/healthcare setting
    • Medical terminology knowledge base
    • Basic knowledge of Microsoft Office products, including Word and Outlook
    • Proven ability to work independently, with some supervision and direction from manager
    • Ability to work 9am-8pm CST rotating shifts with the possible inclusion of Saturdays in the future on a rotating basis

      Preferred Qualifications:

      • Certified/Registered Pharmacy Technician -
      • Certified Medical Assistant training or certification
      • 2+ years of experience in a pharmacy setting
      • 2+ years of experience in a physician's clinic or hospital
      • Call Center experience
      • Bilingual language proficiency (English/Spanish)
      • 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
      • Proven 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 at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm) -

        OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. -

        *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy -

        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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. -

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

Keywords: UnitedHealth Group, San Jose , Associate Pharmacy Care Coordinator - Remote, Healthcare , San Jose, California

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