Associate Pharmacy Care Coordinator
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.
This role provides critical administrative and operational support to the clinical component of the Department of Labor (DOL) contract.
The Associate Pharmacy Care
Coordinator ensures timely and accurate processing of clinical tasks, supports provider, client and claimant communications, provides internal clinician support and maintains high standards of documentation, data accuracy, and workflow efficiency.
Hours of Operation: Monday - Friday - 11 AM - 8 PM EST or 11:30 AM - 8 PM EST with a 30 minute or 1 hour lunch break
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
• Assign incoming clinical files to appropriate clinicians and track progress using internal applications
• Monitor and process requests from multiple group email boxes, ensuring timely follow up and accurate documentation
• Complete all clinical services requests from clients in an efficient, timely, and professional manner
• Maintain accurate and up to date information across multiple internal operating systems, including Clinical360 and VitalPoint
• Respond to inquiries from prescribers, clients, claimants, and internal partners-such as Pharmacy Operations-via telephonic, email, and written correspondence
• Prepare, format, and distribute clinical reports to providers and claimants via fax and mail
• Compose clear, professional, and audience appropriate communications for both internal and external stakeholders
• Support pharmacists, nurses, physicians, adjusters, attorneys, and vendors through timely and accurate information exchange
• Ensure accuracy, consistency, and proper formatting in all reports, documents, and communications
• Maintain compliance with HIPAA and all applicable federal and state privacy regulations
• Assist with maintaining and updating Clinical SOPs, workflow documents, and reference materials
• Learn and become efficient with the use of multiple internal applications required for clinical operations
• Navigate and manage clinical data, case files, communications, and reporting within various systems
• Work with peers and colleagues on special projects and continuous process and quality improvement
• Assist with program enhancements and support initiatives that improve workflow efficiency and service quality
• Perform other duties as assigned to support operational needs or balance workload across the team
• Assumes additional responsibilities and performs special projects as needed or directed
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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
• 1+ years of Pharmacy Benefit Management experience
• Intermediate level of proficiency with Microsoft Outlook, Word, and Excel
• Ability and willingness to submit to and pass a Federal Background Check
• Must be 18 years of age OR older
Preferred Qualification:
• Knowledge of Worker's Comp
• Previous remote working experience
Soft Skills:
• Analytical sk
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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.
This role provides critical administrative and operational support to the clinical component of the Department of Labor (DOL) contract.
The Associate Pharmacy Care
Coordinator ensures timely and accurate processing of clinical tasks, supports provider, client and claimant communications, provides internal clinician support and maintains high standards of documentation, data accuracy, and workflow efficiency.
Hours of Operation: Monday - Friday - 11 AM - 8 PM EST or 11:30 AM - 8 PM EST with a 30 minute or 1 hour lunch break
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
• Assign incoming clinical files to appropriate clinicians and track progress using internal applications
• Monitor and process requests from multiple group email boxes, ensuring timely follow up and accurate documentation
• Complete all clinical services requests from clients in an efficient, timely, and professional manner
• Maintain accurate and up to date information across multiple internal operating systems, including Clinical360 and VitalPoint
• Respond to inquiries from prescribers, clients, claimants, and internal partners-such as Pharmacy Operations-via telephonic, email, and written correspondence
• Prepare, format, and distribute clinical reports to providers and claimants via fax and mail
• Compose clear, professional, and audience appropriate communications for both internal and external stakeholders
• Support pharmacists, nurses, physicians, adjusters, attorneys, and vendors through timely and accurate information exchange
• Ensure accuracy, consistency, and proper formatting in all reports, documents, and communications
• Maintain compliance with HIPAA and all applicable federal and state privacy regulations
• Assist with maintaining and updating Clinical SOPs, workflow documents, and reference materials
• Learn and become efficient with the use of multiple internal applications required for clinical operations
• Navigate and manage clinical data, case files, communications, and reporting within various systems
• Work with peers and colleagues on special projects and continuous process and quality improvement
• Assist with program enhancements and support initiatives that improve workflow efficiency and service quality
• Perform other duties as assigned to support operational needs or balance workload across the team
• Assumes additional responsibilities and performs special projects as needed or directed
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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
• 1+ years of Pharmacy Benefit Management experience
• Intermediate level of proficiency with Microsoft Outlook, Word, and Excel
• Ability and willingness to submit to and pass a Federal Background Check
• Must be 18 years of age OR older
Preferred Qualification:
• Knowledge of Worker's Comp
• Previous remote working experience
Soft Skills:
• Analytical sk
Apply tot his job
Apply To this Job