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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:

United States

Postal Code:

37064

Approximate Salary:

Not Specified

Position Type:

Full Time

Pharmacy Care Coordinator - Franklin, TN

UHG - Franklin, Tennessee

Posted: 08/23/2018

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.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.
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:

  • Responsible for running test claims, documenting and submitting therapy based drug prior authorizations to benefit plans, proceeding with referrals when approved or denied, communicating with patients, physicians, and account managers
  • Responsible for monitoring assignments on the provider advocate dashboard to keep referrals progressing
  • 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
  • Extensive work experience within own function
  • Work is frequently completed without established procedures
  • Works independently
  • May act as a resource for others
  • May coordinate others' activities

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 2+ years of pharmacy experience
  • Pharmacy Prior Authorization experience
Preferred Qualifications:
  • Pharmacy Technician License in the State of Tennessee
Soft Skills:
  • Effective communication skills both written and verbal
  • Strong Organizational Skills
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: Tennessee State Pharmacy Technician License, retail pharmacy, OptumRx, Pharmacy Care Coordinator

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