UnitedHealth Group Inc.-posted about 2 months ago
$18 - $32/Yr
Full-time • Entry Level
Onsite • Estero, FL
5,001-10,000 employees
Insurance Carriers and Related Activities

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a Specialty Pharmacy Liaison with CPS Solutions, LLC, you will engage directly with patients to coordinate pharmacy services through the health system's specialty and retail pharmacy. Acting as a bridge between patients, providers, and the pharmacy, this role focuses on improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient Care Services team and works under the direct supervision of a pharmacist. Pharmacy Location: Located within Lee Health in Estero, FL Schedule: Monday through Friday 8:30am-5:00pm, 40 hours per week

  • Initializing and leading ongoing work in clinics and ensuring that the patient/CPS engagement is appropriate and consistent with their preferences.
  • Ensuring that every patient who can benefit from specialty pharmacy services is identified and met in clinic upon arrival
  • Explaining the benefits of our specialty pharmacy, without impeding patient choice of pharmacy, and achieving patient participation
  • Successfully enrolling patients into the program
  • Performing all benefits investigation, prior authorization, and financial assistance work needed to ensure patients have access to the medication they need
  • Overseeing services provided to enrolled patients - ensuring that everything from order entry to final verification is completed quickly, accurately, and in accordance with patients' needs
  • Providing direct support to enrolled patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome.
  • Conducting outbound phone calls for patient support, adherence checks, and refill reminders
  • Accepting inbound calls from patients, as needed and sharing in on call coverage to ensure 24/7 patient support
  • Appropriately triaging any clinical questions to an appropriate clinician (pharmacist, nurse, or provider)
  • High school diploma or equivalent
  • Active Pharmacy Technician license in good standing in applicable state
  • Recent work experience as a Pharmacy Technician, ideally in specialty or outpatient settings
  • Experience supporting clinical pharmacy programs and performing administrative tasks such as prior authorizations and data entry
  • College degree
  • PTCB
  • Experience in a health system specialty pharmacy as an in-clinic liaison
  • Experience working with various disease states
  • Solid knowledge of medication regimens, age-specific dosing, and managed care practices
  • Proficient in pharmacy systems, care management platforms, and Microsoft Office (Outlook, Word, Excel)
  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
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