Job type full-time
Full job description
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getLeading edge technology in an industry that`s improving the lives of millionsHere, innovation isn`t about another gadget, it`s about making health care data available wherever and whenever people need it, safely and reliablyThere`s no room for errorJoin us and start doing your life`s best work.(sm)
You`re looking for something bigger for your careerHow about inventing the future of health care? optumrx is creating an innovative approach to pharmacy benefit managementHere you`ll find a professional culture where you can use your talent and our resources to make an impact on a huge scaleWith better schedules than retail and more reach than any hospital, you`ll open doors for yourself that simply do not exist in any other organization, anywhere.
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Primary point of contact for account management in their interactions with the prior authorization operations department
Primary point of clinical contact for clinical account management in their interface with the client regarding: clinical criteria development; clinical decision - making rationale; facilitate the fulfillment of member pas (as needed) to ensure timely resolution of issues (this may include interaction with mdo staff and pharmacies to identify key issues.
Drive business analysis and interactions with pa research and resolution group to proactively identify potential client issues as they pertain to pa operations and client responsibilities (e.gCompliance, process / workflow, quality, pg)
Direct and control tasks for troubleshooting client implementation, client system builds, and client relations
Drive the streamlining of business operations in the prior authorizations department to resolve client issues, taking into account current workflow processes and staffing / telecom logistics
Provide training to account management and clients regarding pa services through discussion of technical and operational workflows
Drive and communicate the development of policies / procedures, establishment of standards, and monitoring / reporting - to ensure that pa operations fulfills compliance and pg requirements; offers high client / member satisfaction measured via nps surveys
Provide training to and oversight of pa department personnel (as needed) regarding client issues and needs
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.
Bachelor’s degree in pharmacy or pharmd
Current and unrestricted pharmacist license (any state)
3+ years of experience as a licensed pharmacist
2+ years of experience working within a pbm
1+ years of client facing experience (beyond patients and prescribers)
In-depth knowledge of the prior authorization process
Proficient with microsoft word, excel, powerpoint, and outlook
Ability to travel up to 10%
Supervisory / leadership experience
2+ years of prior authorization experience
Experience using rxclaim
Experience using pas
Proficiency using visio
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Careers with optum Here`s the ideaWe built an entire organization around one giant objective; make health care work better for everyoneSo 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 serveOptum, 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 potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best work.(sm)
Colorado residents only: the salary range for colorado residents is $94,500 to $171,700Pay is based on several factors including but not limited to education, work experience, certifications, etcIn 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
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
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 workplaceCandidates are required to pass a drug test before beginning employment.
Job keywords: manager prior authorization client solutions management, telecommute, wfh, telcommuter, wah, lisle, illinois, il