Pharmacy Care Technician at UnitedHealth Group
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Pharmacy Care Technician
San Antonio Texas
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Pharmacy Care Technician
Requisition number 2348857
Job category Pharmacy
Primary location San Antonio TX
Date posted 04022026
Overtime status Non-exempt
Travel No
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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 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 startCaring. Connecting. Growing together.
ThePharmacy Care Technicianwill make outbound calls to members and physicians to improve medication adherence and other pharmacy related quality metrics. Responsible for gathering prescription refill orders and providing excellent customer service as well as determining the eligibility of members applying for the Medical Assistance Program. May serve as a subject matter expert for the Pharmacy team.
Location 19500 International Highway 10 West Building 1 San Antonio TX
Schedule Monday to Friday 900am to 600pm CST with rotating Saturdays from 800am to 500pm CST
Primary Responsibilities Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medications schedule pharmacy telephonic appointments andor obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary Follows system scripting and validates member demographic information Documents the provider or members record with accurate information obtained on the call Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate Provides support to internal staff subcontractors and providers with respect to Medicare drug related issues May serve as a subject matter expert for the Pharmacy team and mentor new employees to the team as necessary Participates in and contributes to the overall pharmacy quality improvement initiatives Collects and maintains eligibility information in an appropriate and confidential manner Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly Exhibits excellent phone and communication skills while providing complete and accurate information to members Requests additional or supplemental information via correspondence in order to complete applications Adheres to assigned schedule and quality metrics Uses a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders Follows all policy and procedures for the Medical Assistance Program Performs all other related duties as assigned
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 DiplomaGEDor higher Active and unrestricted Pharmacy Technician license in the state of Texas National Pharmacy Technician Certification Certified Pharmacy Technician 2 years of experience in a pharmacy setting 1 years of experience in a customer service setting 1 years of experience with Medicare Part D particularly the pharmacy record review claims billing and reimbursement rules 1 years of experience with HIPAA Privacy and Security Rules and CMS security requirements 1 years of experience with Microsoft Office internet and e-mail 6 months of previous Call Center experience Intermediate level of writing skills and ability to produce work free from typographical or spelling errors
Preferred Qualifications PBM experience Advanced knowledge of NCPDP and other types of prescription drug claims Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies. Retail pharmacy experience Bilingual EnglishSpanish
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
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.
What we do
Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.
https://www.youtube.com/watch?v=5PbNyi2IDkY
Caring. Connecting. Growing together.
Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:
• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.
• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.
• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.