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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Pharmaceutical

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Pharmacy Audit Representative - Schaumburg, IL

UHG - Schaumburg, Illinois

Posted: 12/13/2018

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

Primary Responsibilities:
  • Investigates, reviews and analyzes claims data applying knowledge of pharmacy policy and practice and data mining techniques
  • Identifies and documents fraudulent or erroneous activities determined as a result of an audit
  • Working within audit software daily, must be familiar with PC computers
  • Communicate via phone and emails with Pharmacies
  • Auditing CMS claims
  • Ability to work towards deadlines
  • High Volume case load
  • Cubicle environment
  • Working with a team of auditors
  • Auditors typically are licensed pharmacy technicians with in - depth knowledge of pharmacy operations

Requirements:
  • High School Diploma / GED
  • Nationally Certified Pharmacy Technician
  • IL Pharmacy Technician license
  • 2+ years Retail Pharmacy Technician experience in a pharmacy environment
  • Basic experience in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint (Word - creating / updating documents; Excel - creating / updating spreadsheets, pivot tables, formulas; PowerPoint - creating basic presentations)
  • Ability to work Monday - Friday 8:00 am - 4:30am and flexibility with the start
Preferred Qualifications:
  • Medicare Experience   
  • Medical Billing Experience   
  • PBM (Pharmacy Benefit Management) Experience 

Soft Skills:

  • Strong communication skills, both written and verbal
  • Strong organizational skills; detailed oriented

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.SM

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: Pharm Tech, Pharmacy Tech, Audit, Auditor, PBM, Medicare,  Pharmacy Technician, National Certification, OptumRx, Optum, UnitedHealth Group

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