UnitedHealth Group Pharmacy Clinical Administrative Coordinator – National Remote in Minneapolis, Minnesota

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

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 3-4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

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

Primary Responsibilities:

• Answer incoming calls, assisting members and other health care providers with pharmacy benefit questions and escalating complicated drug related calls to the clinical pharmacist

• Access, input, and retrieve pharmacy data, and ability to run pharmacy reports

• Assist pharmacy team in identifying high volume/high cost pharmacy utilizing members from data reports

• Maintain customer/patient confidentiality according to HIPAA and company standards

• Perform administrative/clerical related duties as required by the clinical pharmacy team

• Reviewing and approving member referrals, ensuring that they are appropriate for the patient’s needs

• Working with physicians, nurses, and other health professionals to ensure that patients receive appropriate treatment

• Maintaining availability of medications, ensuring that items are available in sufficient quantities

• Communicating with insurance companies regarding drug coverage status and processing claims

• Communicating with patients about their medication regimen and any changes that may be needed

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 equivalent work experience

• Must be 18 years of age or older

• 1+ years in utilization management OR pharmacy prior authorization (PA) experience

• Proficient in the utilization of software programs such as Microsoft Office, which includes the ability to learn new and complex computer system applications

• Ability to document chart notes, and effectively present information and respond to questions from those within the organization as well as to groups outside of the company

• Ability to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

• 1+ years of PHARMACY authorization experience

• Clinical experience

• Familiarity with contracts

• Typing ability 30+ WPM

• Experience with medications and insurance plans

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:

• Proven effective verbal and written communication skills

• Proven ability to organize and manage multiple priorities

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.54 – $32.55 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.

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 .

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