Senior Pharmacy Care Technician

UnitedHealth Group•San Antonio, TX

5h•Onsite

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.

Requirements

High School Diploma/GED
National Pharmacy Technician Certification
Active and unrestricted Pharmacy Technician license in the state of Texas
5+ years of experience in a pharmacy setting
1+ years of experience in your current role
Intermediate level of knowledge of Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
Intermediate level of knowledge of HIPAA Privacy and Security Rules and CMS security requirements
Intermediate level of proficiency with general writing skills and ability to produce work free from typographical or spelling errors
Intermediate level of knowledge of Microsoft Office, Internet and e-mail

Responsibilities

May handle any escalated calls from members and assist them with their inquiries. Routes calls to appropriate department if necessary
Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues
Serve as a team lead for the Quality Pharmacy team and mentor new employees to the team as necessary
May assist department trainer in putting together materials (job aids, screen shots, short video demonstrations, etc.) for reference within the Quality Pharmacy team
Participates in and contributes to the overall pharmacy quality improvement initiatives
Collects and maintains eligibility information in an appropriate and confidential manner
Assist with new hire trainings
Acts as point of contact for process/workflow related questions
Enters all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly
Exhibits excellent phone and communication skills while providing complete and accurate information to members
Requests additional or supplemental information via correspondence to complete application
Adheres to assigned schedule and quality metrics
Uses a multi-lined telephonic system to answer calls regarding pharmacy related quality metrics
Performs all other related duties as assigned
Support the definition of processes and policies and communicate the context in which processes and policies are applied
Provide input on any process or documentation changes
Complete any UAT testing on new applications
Resolve issues relevant to the process within their area of expertise
Complete Agent Call Audits
Review and update SOPs
Other duties as assigned