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Pharmacy Care Coordinator - Columbus, MS

UnitedHealth Group Columbus Full-Time
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Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

 

Positions in this function consult with customers, members, patients, providers, internal departments and/or external third parties on any or all of the following:- Consult with and coordinate initial set up and on-going treatment plan for specialty drug patients, including DURs, co-pay assistance, ancillary products, scheduling Pharmacist consults and/or RN visits, and liaison with provider offices on labs, refill orders and prior authorizations.

 
Primary Responsibilities:
  • Adding patient demographics, insurance, medication lists, and other necessary information to patient profiles
  • Running test claims, documenting and submitting therapy based drug prior authorizations to benefit plans, proceeding with referrals when approved or denied, communicating with patients, physicians, and insurance representatives
  • Scheduling shipments for patients when necessary
  • Review and advise on medications and treatment plans (based on review of medical case notes, medication list and lab results) to improve outcomes and avoid potential drug interactions.
  • Discuss with patients life issues affecting medication adherence and provide advice on improving drug regimen compliance.
  • Advise patients on alternate Rx fill strategies of retail versus mail order and options for financial assistance.
  • May outreach to providers on suspected medication abuse situations.
  • Review medication regimen for disease state for LTC facilities/ hospice care / RN case managers / Medical Directors / clients and provide summaries and guidance on future medication plans. Advice may include alternate drug therapies, stopping a medication and/or lower cost alternative.

Required Qualifications:
  • High School Diploma / GED or higher
  • 2+ years of pharmacy experience
Preferred Qualifications:
  • Effective communication skills, both written and verbal
  • Strong organizational skills
  • Proficiency with the Microsoft Office Suite, including Excel

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

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.


Keywords: healthcare, health care, UnitedHealthcare, UnitedHealth Group, Optum, OptumRx, pharmacy, pharmacy technician, prescription, RX, Pharmacy Clerk, Pharm Clerk

 

Skills required

Customer Service
Administration
Maintain Indexed Record
Electronic Medical Record
Assist Individual
Maintain Medical Record
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UnitedHealth Group is Fortune 5 and working to create the health
care system of tomorrow.  We can’t do it alone.  We need your help,
skills and drive to serve others.  
Consider your future: workatuhg.com

Our industry is focused on innovation and change. You can expect
to work a little harder, because we aim a little higher to meet the rapidly
evolving needs of healthcare.  We expect more from ourselves as well as
those who share our passion for excellence. If you’re open to that challenge,
you’ve come to the right place. Yes, we’ll test your skills, then help you to
build more. 

Through our family of businesses and a lot of inspired
individuals, we're building a high-performance health care system that works
better for more people in more ways than ever.

If you would describe yourself as compassionate, decisive, and
built for speed, we want to hear from you.  This is the place to share
your ideas and your passion for making a difference right now. We won’t promise
you the world, but we will promise you the opportunity to do
your life’s
best workSM


Because we recruit talent for a diverse range of areas - from
finance and nursing to customer service, marketing, legal and beyond – chances
are, we’ll have an opportunity for you.

UnitedHealth Group Values:

Just like you, we’re driven by values that are guiding our way
forward:

Integrity
– Honor commitments. Never compromise ethics. 
Compassion – Walk in the shoes of people we serve, and those with whom
we work.
Relationships – Build trust through collaboration.
Innovation – Invent the future, learn from the past.
Performance – Demonstrate excellence, in everything we do.

With these values as our foundation, and through the talents,
drive and compassion of people like you, UnitedHealth Group will transform
health care. And we’ll continue our evolution as a company, making an even
greater positive impact on the lives of those we serve. 

Consider your future:
workatuhg.com

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