UnitedHealth Group Senior Pharmacy Care Coordinator – Remote in AZ, UT, ID, WA, CO, NV, CA and NM in Colorado

June 10, 2024

Job Description


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.

We are seeking a Senior Pharmacy Care Coordinator. You will be focused on interpreting and supporting continuous quality improvement initiatives You will support HEDIS, CMS STARS, and other quality performance metrics.

Full remote position – Working hours: M-F PST or MST anywhere between 7:00am-6:00pm

You’ll enjoy the flexibility to telecommute* from state of AZ, UT, ID, WA, CO, NV, CA and NM as you take on some tough challenges..

Primary Responsibilities:

  • Provider group liaison to improve Part D Measures including medication adherence, statin use

  • Provide education and formal presentations on Part D measures to provider group staff, including member educational initiatives promoting formulary alternatives and strategies to improve STAR/HEDIS measures

  • Understand pharmacy related quality reports and identify areas for intervention and improvement (e.g. medication claim reversals, medication adherence, etc.)

  • Assist with preparing educational materials and coordinating initiatives (e.g. provider statin letters, medication adherence prior year non-compliant lists)

  • Maintain and educate on patient and provider resources (e.g. financial assistance, educational materials, measure details, etc.)

  • Coordinate with outpatient pharmacies to ensure members receive prescriptions timely and assist with prescription refill requests.

  • Conduct telephonic patient outreach to educate on medication adherence opportunities.

  • Other duties as assigned to meet departmental objectives

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:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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)

  • 3+ years of Pharmacy or Quality related experience

  • Intermediate level of proficiency with Microsoft Office applications including Word, Excel, and Outlook

Preferred Qualifications:

  • Pharmacy Technician or MA license in good standing, in any state

  • Advanced Education (i.e. Associate’s or Bachelor’s degree)

  • CPhT certification

  • Experience in managed care pharmacy (Pharmacy Benefits Manager, Medicare Advantage)

  • Experience using EMR systems

  • Knowledge of Medicare part D

  • Ability to recognize potential drug discrepancies and barriers to adherence

  • Ability to identify and analyze drug data trends

  • Knowledge of HIPAA

Soft skills:

  • Demonstrate accuracy, timeliness, organization and attention to detail

  • Strong customer service and communication skills

  • Understanding SDOH (Social Determinates of Health) Factors

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

California, Colorado, Nevada, or Washington Residents Only : The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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









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