Senior Pharmacy Care Coordinator

UnitedHealth Group-posted 3 months ago
$20 - $35/Yr
Full-time • Mid Level
Remote • Eugene, OR
Insurance Carriers and Related Activities
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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. The Senior Pharmacy Care Coordinator is responsible for providing technical and program support which includes but is not limited to medication order review, pending lab orders, answering/routing incoming patient calls, in-basket management, supporting pharmacists and/or care teams, medication quality measures, prior authorization, and medication patient assistance programs. The Senior Pharmacy Care Coordinator's duties require interaction with clinicians, pharmacists, and other care team members.

  • Patient outreach via telephone, MyChart, or other means
  • Provides basic technological support for patients (i.e. telehealth visits, signing up for MyChart, etc.)
  • Support scheduling/rescheduling of patient visits to ensure patients have follow-up
  • Provide patients with access to materials (i.e. mailing patient education handouts and required materials) and medications which may include medication assistance programs and foundations
  • Educate/mentor others on these programs and resources
  • Subject matter expert and resource to the pharmacist for insurance formularies
  • Contact insurance companies and pharmacies when necessary to determine medication coverage
  • Utilize medication knowledge to submit prior authorizations with appropriate medical documentation
  • Ability to resolve and mentor others on pharmacy/medication complex issues
  • Manages incoming calls to the department, anticipating patient needs and proactively identifying solutions
  • Manage incoming referrals and perform patient outreach
  • Management of telephone encounters and staff messages in pools/in-basket
  • Requests pharmacist intervention or clinician escalation when needed
  • Tracks and retrieves patient lab results
  • Track, inform, and obtain relevant information for care team of patient discharge from acute care facilities (i.e. hospital, skilled nursing)
  • Leads and implements quality measure processes which include programs such as 5-Stars (i.e. adherence, blood pressure, A1c control) with the ability to work independently and solve complex challenges with suggested solutions
  • Performs other duties as assigned
  • High School Diploma/GED (or higher)
  • 3+ years of experience in the healthcare industry
  • 1+ years of experience with organizational skills and the ability to manage programs with outcomes
  • Intermediate level of computer proficiency
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection and installation
  • Candidate must have their own home internet access (internet can be hard wired with Ethernet cord)
  • Access to a location/workspace in the home that is separate from non-workspace areas and can be secured to maintain PHI or PII security in line with UnitedHealth Group policies and standard
  • Ability to keep all company sensitive documents secure (if applicable)
  • Ability to be on camera for all team's calls/meetings
  • Must live within a commutable distance to 1580 Valley River Dr, Eugene, OR 97401
  • Active Pharmacy Technician or Medical Assistant certification from the State of Oregon
  • 1+ years of experience as a Pharmacy Technician or Medical Assistant
  • 1+ years of experience in a physician's clinic or hospital
  • Previous Epic or similar Electronic Medical Record (EMR) experience
  • 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.)
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