Optumis 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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Responsible for providing integrated support under the supervision of a pharmacist to Optum clinicians and patients by managing refill requests and prior authorizations, conducting therapeutic drug conversions, and supporting pharmacy wellness programs.
Hours: Monday – Friday, 8:00 AM – 5:00 PM with rotating Sundays every 4-6 weeks
Location: Remote within Torrance, CA
Primary Responsibilities:
- Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.
- Works as a member of the Pharmacy Support Center by processing medication refill requests per protocol, facilitating non-protocol refill requests, obtaining prior authorizations, and resolving other medication refill related issues or problems.
- Documents pertinent patient information in the electronic medical record.
- Participates in therapeutic drug conversion programs by conducting therapeutic drug conversions per protocol, documenting drug conversions in the electronic medical record, notifying providers of drug conversions, and providing patient education regarding these changes.
- Assists with data management and recording results for month-end reports.
- Updates job knowledge by participating in educational opportunities and reading professional publications.
- Participates in process improvement initiatives, site staff meetings, and departmental meetings.
- Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Adheres to Universal Precautions and safety policies and procedures at all times.
- Performs additional duties as assigned.
Required Qualifications:
- High School Diploma / GED (or higher).
- Current California State Board of Pharmacy Technician license.
- Pharmacy Technician Certification Board (PTCB) certification.
- Basic knowledge of medical and pharmacy terminology.
- Basic knowledge of Windows and Microsoft applications (Microsoft Word, Microsoft Excel).
- Ability to demonstrate basic knowledge in medication therapeutic categories.
- Ability to demonstrate basic knowledge in understanding indication for medication.
- Ability to log on to computer and using keyboard, mouse, and email applications.
- Ability to type at the speed of 40+ WPM (words per minute).
- Ability to work any shift between the hours of 8:00 AM - 5:00 PM PST from Monday - Friday including the flexibility to work possible, rotating weekends based on business need.
- Must be 18 years of age OR older.
Preferred Qualifications:
- 1+ years of experience in a hospital, ambulatory care, OR other healthcare setting.
- Prior experience in managed care setting.
Telecommuting Requirements:
- Reside within commutable distance of 19191 S Vermont Ave, Torrance, CA, 90502.
- Ability to keep all company sensitive documents secure (if applicable).
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Soft Skills:
- Ability to identify generic name for brand name drugs and vice versa.
- Excellent organizational, interpersonal, and decision-making skills.
- Excellent verbal and written communication skills.
- Ability to work in a relatively unsupervised environment with a high degree of accuracy.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California Residents Only: The hourly range for California residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life.
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.
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