Pharmacy Navigator / Technician

UnitedHealth Group • Worcester, MA

18d • $16 - $29 • Remote

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as team members. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together.
The Pharmacy Navigator / Technician provides operational support to the Prescription department. Receives requests to process prescriptions in an accurate and timely manner to get providers approval. Performs assigned prescription functions and duties in support of the prescription department. Takes incoming calls and make outreach telephone calls to patients who have requested medication refills or renewals. Processes medication requests following standard procedure. Checks appropriate notes, pertinent lab results and order labs that are required to support requests being pended for provider approval. Checks if patients are up to date with appointments and books follow up appointments that are required to sustain compliance with treatments. Selects and pend correct medication, dosage, sign and number of refills with selecting correct pharmacy before routing to the appropriate provider for approval. Manages patient’s drug management agreements and updates accordingly. Processes prior authorizations for medications that are not covered by patients’ insurance. Perform tasks focused on fostering teamwork and dedication to patient safety and satisfaction.
Schedule: Full-Time, 38.75 hrs. Will be working Monday – Friday 8:30am – 5pm EST or 10:30am – 7:30pm EST, depending on business need.
Location: This role is fully remote in MA; however, you will be required to work onsite for the initial 6 weeks of training in the Worcester, MA office.
If you are located in Massachusetts or nearby surrounding states (NH, CT, and RI), you will have the flexibility to telecommute as you take on some tough challenges.

Requirements

• High School Diploma/GED (or higher)
• Current unencumbered Pharmacy Technician license in the state of Massachusetts
• 6+ months of retail Pharmacy Technician experience
• Ability to work alternate shifts of 8:30am – 5:00pm and 10:30am – 7:00 pm
• Ability to work onsite for 6 weeks of initial training at our Worcester, MA office
• Must reside in MA or surrounding states (NH, CT, RI)
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

• 1+ years of prior authorization experience
• Physical health sufficient to meet the ergonomic standards and demands of the position

Responsibilities

• Performs assigned duties as directed by the prescription specialist supervisor
• Interact effectively and professionally with all location departments at Reliant Medical Group
• Interact effectively and professionally with all patients, prescribers and payors and pharmacies related to any and all prescription requests
• Develops proficiencies in utilization of Epic
• Works independently and handles multiple tasks
• Greets patients over the telephone to ensure prompt service for patient needs
• Performs computer entry of prescription information including but not limited to patient search, prescriber search, drug selection, prescription interpretation, chart review and provides accurate documentation in Epic
• Accurately reviews and processes e-prescriptions, faxed prescriptions, my-chart renewals, patient calls per Prescription Department guidelines
• Accepts customer, insurance and prescription information required to process new and refill prescriptions, including refill authorization from doctor offices where permitted by state law
• Communicates any issues which may delay the prescription to the patient. Works directly with the prescription specialist supervisor to coordinate the resolution for the patient
• Assists with maintaining the prescription pool by keeping it up to date and while also managing open encounters and in-basket management
• Follows all asset protection and personal safety guidelines as outlined in the department Policy and Procedures
• Responsible for obtaining correct Prior Authorizations forms. Completes and processes prior authorizations for medications that are not covered by patient’s insurance

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.)

What This Job Offers

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