Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your lifes best work. As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work. Positions in this function perform various duties related to the fulfillment of prescription orders. Interprets physicians' prescriptions and creates order, accesses, inputs, and retrieves prescription information from computer system, verifies whether order is reimbursable. Dispenses any or all of the following: unit doses, specialty pharmaceuticals and injectables, and may compound medications. Consults with customers, patients and / or physicians regarding use of medications and potential drug interactions. Consultations may be telephonic or in person. Reviews and approves / denies requests for prescription prior authorizations. Pharmacists must have a current license without restrictions and Lead PharmacyTechnicians must have current State License or National Certification without restrictions based on regulatory requirements of worksite. Primary Responsibilities:
Troubleshooting issues within the health plan
Assisting Case Managers on an individual member basis by working through the member's pharmacy-related barriers
Providing support to the Pharmacy Director
Conducting basic reporting and analysis
Researching member or physician concerns by assisting pharmacies in claims adjudication and prescriber coordination
Proactive identification and intervening on behalf of members at risk, who are not already in case management
Expand provider educational efforts via individual and mass communication as negative trends are identified
Support member education by improving pharmacy-related health literacy with benefit navigation assistance
Extensive work experience, possibly in multiple functions
Work does not usually require established procedures
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.