Job Description

$1,000 Sign on bonus for External Candidates

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 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.

The Pharmacy Care Technician will effectively support the successful implementation and execution of all pharmacy programs and processes. The Pharmacy Care Technician will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls. May serve as a subject matter expert for the Pharmacy team.

Schedule: Monday to Friday 9:00am to 6:00pm CST with rotating Saturdays 

Location: 19500 W Interstate 10, San Antonio, TX 78257

Primary Responsibilities: 

• Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed
• May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary
• Follows system scripting and validates member demographic information
• Documents the provider or member's record with accurate information obtained on the call
• Performs desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate
• Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues
• Participates in and contributes to the overall pharmacy quality improvement initiatives
• Collects and maintains eligibility information in an appropriate and confidential manner
• Exhibits excellent phone and communication skills while providing complete and accurate information to members
• Adheres to assigned schedule and quality metrics
• Uses a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders
• Performs all other related duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• Active and unrestricted Pharmacy Technician (CPhT) license in the state of Texas
• National Certification
• 2+ years of experience in a customer service role
• 6+ months of experience in a call center setting
• Basic level of proficiency with Microsoft Office products, including Word and Outlook

Preferred Qualifications:

• 2+ years of experience in a physician’s clinic or hospital
• 6+ months of experience with knowledge of medical terminology 
• Knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and reimbursement rules
• Bilingual language proficiency (English/Spanish)

Soft Skills: 

• Ability to work independently and maintain good judgment and accountability 
• Demonstrated ability to work well with health care providers 
• Strong organizational and time management skills 
• Ability to multi-task and prioritize tasks to meet all deadlines 
• Ability to work well under pressure in a fast-paced environment 
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED

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PandoLogic. Category:Customer Service, Keywords:Customer Service Representative, Location:San Antonio, TX-78212

Job Tags

Hourly pay, Minimum wage, Full time, Temporary work, Work experience placement, For subcontractor, Work at office, Local area, Relocation package, Saturday, Monday to Friday,

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