Senior Pharmacy Care Coordinator

Requisition Number: 2349893
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 Senior Pharmacy Care Coordinator is responsible for providing technical and program support which includes but is not limited to: medication order review, pending lab orders, answering/routing incoming patient calls, in-basket management, supporting pharmacists and/or care teams, medication quality measures, prior authorization, and medication patient assistance programs. The Senior Pharmacy Care Coordinator's duties require interaction with clinicians, pharmacists, and other care team members.
Schedule: A 40-hour work week, Monday through Friday 7:00am to 6:00pm PST. The schedule will be determined by the supervisor upon hire.
Location: Remote with a commutable distance to the office at 1580 Valley River Dr, Eugene, OR 97401
If you reside in Eugene, OR , you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
Primary Responsibilities:
Patient Care

• Patient outreach via telephone, MyChart, or other means
• Provides basic technological support for patients (i.e. telehealth visits, signing up for MyChart, etc.)
• Support scheduling/rescheduling of patient visits to ensure patients have follow-up
• Provide patients with access to materials (i.e. mailing patient education handouts and required materials) and medications which may include medication assistance programs and foundations. Educate/mentor others on these programs and resources
• Subject matter expert and resource to the pharmacist for insurance formularies. Contact insurance companies and pharmacies when necessary to determine medication coverage
• Utilize medication knowledge to submit prior authorizations with appropriate medical documentation
• Ability to resolve and mentor others on pharmacy/medication complex issues

Workflow Management

• Manages incoming calls to the department, anticipating patient needs and proactively identifying solutions.
• Manage incoming referrals and perform patient outreach
• Management of telephone encounters and staff messages in pools/in-basket
• Requests pharmacist intervention or clinician escalation when needed
• Tracks and retrieves patient lab results
• Track, inform, and obtain relevant information for care team of patient discharge from acute care facilities (i.e. hospital, skilled nursing)
• Leads and implements quality measure processes which include programs such as 5-Stars (i.e adherence, blood pressure, A1c control) with the ability to work independently and solve complex challenges with suggested solutions
• Performs other 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.)

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)
• 3+ years of experience in healthcare
• 1+ years of experience in organizational skills and ability to manage programs with outcomes
• Intermediate level of computer proficiency
• Must live within a commutable distance to 1580 Valley River Dr, Eugene, OR 97401
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection and installation. Candidate must have their own home internet access (internet can be hard wired with Ethernet cord) Must be on camera for all team's callsmeetings
• Required to have a location/workspace in the home that is separate from non-workspace areas and can be secured to maintain PHI or PII security in line with UnitedHealth Group policies and standard. Ability to keep all company sensitive documents secure (if applicable)

Preferred Qualifications:

• Active pharmacy technician or medical assistant certification from the State of Oregon
• 1+ years of experience as a pharmacy technician or medical assistant
• 1+ years of experience in a physician's clinic or hospital
• Previous Epic or similar Electronic Medical Record (EMR) experience preferred

Soft Skills:

• Operating a computer, calculator, photocopy machine, and document scanner
• Anticipating and reacting calmly to emergency situations
• Coordination with outside entities to ensure timely access to lab results and relevant patient information
• Written and verbal communication
• Excellence in patient experience/engagement
• Ability to work independently and maintain good judgment and accountability
• Strong organizational and time management skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $20.38 to $36.44 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.
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