UnitedHealth Group is hiring

Pharmacy Relations Coordinator - Remote Nationwide job at UnitedHealth Group, San Diego

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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Negotiate contracts with local pharmacy providers to ensure fair and reasonable compensation while maintaining company profits
  • Investigate reimbursement issues as reported from the pharmacy or Account Management team in preparation for the pricing committee review
  • Obtain proper approval for Custom NDC’s from Account Management prior to sending to Provider Relations and Plan Design for system support
  • Call local pharmacies with Account Management team to troubleshoot processes and issues the pharmacies may be having
  • Manual Claims Processing as needed
  • Contact pharmacies that have billed families directly and have them reprocess the appropriate hospice meds through Optum and at the same time educate the pharmacies how to process claims electronically
  • Work directly with clients that need a pharmacy issue addressed ASAP
  • Find new pharmacies for hospices in troubled areas by cold calling on pharmacies and coming to agreements with the new providers
  • Work with corporate offices of the chains to make special arrangements for having needed stock in their pharmacies
  • Implementing processes with LTC pharmacies to ensure that all billing is done accordingly
  • Send contract requests to the Optum Pharmacy Addition team for new and existing pharmacies
  • Send some reimbursement issues to the Provider Relations team at Optum that may not be related to our MAC pricing
  • Participate on all calls that involve the client as it pertains to the implementation of a new group
  • Coordinate pharmacy calls to pharmacies for new clients and make sure the blast fax is sent
  • Complete special projects as assigned

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)
  • 2 years of PBM experience
  • Proficiency within Microsoft Excel (filter, sort, create and edit spreadsheets) and Microsoft Word (creating and editing documents)

Preferred Qualifications: 

  • 2+ years of experience with Hospice PBM processes  
  • Call center experience

Soft Skills:

  • Excellent verbal and written communication skills
  • Ability to work in a team environment and promote teamwork
  • Must be comfortable working in a multi-tasking and fast-paced environment
  • Highly energetic, highly motivated, self-starting
  • Excellent organizational skills
  • Excellent verbal and written communication skills

To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 to $26.88. The salary range for Connecticut / Nevada residents is $16.83 to $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives 

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: UHG, OptumRx, healthcare, pharmacy, Hospice, call center, remote, telecommute, work from home, work at home, WFH, WAH, hiring immediately, #RPO

Job country: United States

City: San Diego

Category: Business Operations Specialists, All Other

Location: San Diego, CA, United States

Job posted 2022-06-04

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