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Positions in this function consult with customers, members, patients, providers, internal departments and / or external third parties on any or all of the following: Consult with and coordinate initial set up and on - going treatment plan for specialty drug patients, including DURs, co - pay assistance, ancillary products, scheduling Pharmacist consults and / or RN visits, and liaison with provider offices on labs, refill orders and prior authorizations.Primary Responsibilities:
Review and advise on medications and treatment plans (based on review of medical case notes, medication list and lab results) to improve outcomes and avoid potential drug interactions.
Discuss with patients life issues affecting medication adherence and provide advice on improving drug regimen compliance.
Advise patients on alternate Rx fill strategies of retail versus mail order and options for financial assistance.
May outreach to providers on suspected medication abuse situations.
Review medication regimen for disease state for LTC facilities / hospice care / RN case managers / Medical Directors / clients and provide summaries and guidance on future medication plans. Advice may include alternate drug therapies, stopping a medication and / or lower cost alternative.
Review medical case notes to determine on - going medication treatment plan and project future medication costs.
Moderate work experience within own function.
Some work is completed without established procedures.
Basic tasks are completed without review by others.
Supervision / guidance is required for higher level tasks.
High School Diploma / GED (or higher)
Experience in a call center environment
Experience with Customer Service
Ability to work Monday - Friday (8:00 a.m. - 8:00 p.m.) and 1/2 day on Saturdays on a rotational basis
- FL Tech License or CPhT License
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life’s best work.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: Specialty Care Coordinator - Lake Mary, FL - Call Center - Customer Service