Associate Pharmacy Care Coordinator - San Antonio, TX

Company: Optum
Location: Cibolo
Posted on: August 28, 2024

Job Description:

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. -
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The Associate Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. - The Associate Pharmacy Care Coordinator will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Associate Pharmacy Care Coordinator will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.
Primary Responsibilities:

Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
Coordinates and assists initial screening of MAP enrollment requests via all communication venues, as well as administrative preparation for clinical staff
Conducts in-bound and out-bound calls for program requirements including, but not limited to patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
Collects and maintains eligibility information in an appropriate and confidential manner.
Interviews applicants by phone for program requirements
Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
Exhibits excellent phone and communication skills while providing complete and accurate information to customers
Requests additional or supplemental information via correspondence in order to complete applications
Adheres to assigned schedule and quality metrics
Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
Provides excellent customer service by serving as a resource to all internal and external customers
Attends required meetings and participates in special committees as needed.
Performs other duties as assigned
Must be able to work independently, with some supervision and direction from manager
Must possess and demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
Must maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
Must maintain strict confidentiality at all times to include but limited to patients and coworkers
Must comply with all organizational policies regarding ethical business practices
Must adhere to all department policies and procedures

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) -
6+ months of experience in a call center setting
Basic level of proficiency with Microsoft Office products including Word and Outlook
Basic level of proficiency with medical terminology
Ability to sit for extended periods of time
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving

Preferred Qualifications:

Certified Medical Assistant training or certification
2+ years of experience in a physician's clinic or hospital
Bilingual (English/Spanish)
2+ years of administrative support experience -

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

Keywords: Optum, New Braunfels , Associate Pharmacy Care Coordinator - San Antonio, TX, Healthcare , Cibolo, Texas