Pharmacist

UnitedHealth GroupSugar Land, TX
261d$43 - $84Remote

About The Position

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. As a Pharmacist PA/Appeals you will perform live telephonic outreach to UHC Medicare members to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

  • Current and unrestricted Pharmacist license in the state of residence
  • Beginner level of proficiency navigating MS Office and a Windows-based environment

Nice To Haves

  • Knowledge of call center systems such as CMS, IEX, CTI and TCS

Responsibilities

  • Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
  • Navigate across multiple computer systems to respond to questions or to provide specific medication details / clinical information
  • Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc.
  • Clarify and explain pharmaceutical benefits and procedures
  • Ensure safety in the workspace and communicate with leadership when safety is compromised

Benefits

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

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

No Education Listed

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