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.

We are seeking a Senior Pharmacy Care Coordinator. You will be focused on interpreting and supporting continuous quality improvement initiatives You will support HEDIS, CMS STARS, and other quality performance metrics.

Full remote position – Working hours: M-F PST or MST anywhere between 7:00am-6:00pm

You’ll enjoy the flexibility to telecommute* from state of AZ, UT, ID, WA, CO, NV, CA, OR and NM as you take on some tough challenges..

Primary Responsibilities:

• Provider group liaison to improve Part D Measures including medication adherence, statin use
• Provide education and formal presentations on Part D measures to provider group staff, including member educational initiatives promoting formulary alternatives and strategies to improve STAR/HEDIS measures
• Understand pharmacy related quality reports and identify areas for intervention and improvement (e.g. medication claim reversals, medication adherence, etc.)
• Assist with preparing educational materials and coordinating initiatives (e.g. provider statin letters, medication adherence prior year non-compliant lists)
• Maintain and educate on patient and provider resources (e.g. financial assistance, educational materials, measure details, etc.)
• Coordinate with outpatient pharmacies to ensure members receive prescriptions timely and assist with prescription refill requests.
• Conduct telephonic patient outreach to educate on medication adherence opportunities.
• Other duties as assigned to meet departmental objectives

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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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)
• 3+ years of Pharmacy or Quality related experience
• Intermediate level of proficiency with Microsoft Office applications including Word, Excel, and Outlook

Preferred Qualifications:

• Pharmacy Technician or MA license in good standing, in any state
• Advanced Education (i.e. Associate’s or Bachelor’s degree)
• CPhT certification
• Experience in managed care pharmacy (Pharmacy Benefits Manager, Medicare Advantage)
• Experience using EMR systems
• Knowledge of Medicare part D
• Ability to recognize potential drug discrepancies and barriers to adherence
• Ability to identify and analyze drug data trends
• Knowledge of HIPAA

Soft skills:

• Demonstrate accuracy, timeliness, organization and attention to detail
• Strong customer service and communication skills
• Understanding SDOH (Social Determinates of Health) Factors

#RPO #Green