Medication Navigator

UnitedHealth Group • Chappaqua, NY

5d • $18 - $32 • Remote

About The Position

Optum NY/NJ is seeking a Medication Navigator to join their team. As a member of the Optum Care Delivery team, you will be an integral part of the vision to make healthcare better for everyone. At Optum, you will have the clinical resources, data, and support of a global organization behind you so you can help your patients live healthier lives. The Medication Navigator is responsible for outreaching and engaging with patients around adhering to medications. This role supports patient experience and clinical outcomes by ensuring patients can fill, refill, and take medications as prescribed by their provider. The Medication Navigator will help to identify barriers to adhering to medications and assist patients with navigating and overcoming challenges related to adherence. This role is a key contributor to the Quality Team by supporting strong performance against priority quality and patient experience measures.

Requirements

• High School Diploma/GED
• 1+ years of experience working with patients, preferably with experience supporting medication reconciliation or management
• 1+ years of experience with Microsoft Office products, including Word and Outlook
• Ability to work Monday through Friday 8:30 am to 5:00 pm EST
• Access to a designated quiet workspace in your home (separated from non-workspace areas) and is able to secure Protected Health Information (PHI)
• Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Ability to collaborate with your work team

Nice To Haves

• Bilingual language proficiency (English/Spanish)
• Certification as a Pharmacy Technician, Medical Assistant, or Nurse or associate degree or bachelor’s degree in pharmacy or nursing
• 6+ months medical terminology knowledge base

Responsibilities

• Engage with patients, providers, and pharmacies to promote the timely fill or re-fill of medications, especially those that are routinely prescribed to manage cholesterol, hypertension, and diabetes.
• Educate and empower patients to understand their prescribed medication regimen and its benefits.
• Serve as subject matter expert on pharmacy related measures, including MAD, MAC, MAH, SUPD, SPC.
• Assist in the resolution of issues and elimination of roadblocks to ensure patients are positioned to fill or re-fill medications.
• Connect patients with resources to reduce cost, access mail delivery, and obtain 90/100-day refills.
• Serve as an escalation point for non-clinical staff members.
• Complete minimum daily goals for outreach (telephonic, email) to patients, providers, and pharmacies.
• Aid in the development of new programs and workflow evolution, such as management of high risk patients.
• Assist in tracking and improving performance metrics and related initiatives.
• Responsible for conducting outreach to patients, pharmacies, and providers to identify and overcome barriers, determine the root causes of non-adherence, and serve as a liaison between patients and healthcare providers.
• Tracking outreach efforts and outcomes, proactively identifying and addressing barriers, and communicating with leadership to escalate issues and support solution development when needed.
• Performs other duties as assigned.

Benefits

• 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.)
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED