10 days old

Associate Pharmacy Care Coordinator San Antonio, TX

San Antonio, TX 78205
  • Job Code
    880819
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)    

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. 

The Associate Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes.  This position will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are metThe 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
  • Comply with all organizational policies regarding ethical business practices
  • Adhere to all department policies and procedures
  • Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
  • Maintain strict confidentiality at all times to include but limited to patients and coworkers
  • Comply with all organizational policies regarding ethical business practices
  • Adhere to all department policies and procedures
  • Performs other duties 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.
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Posted: 2020-10-08 Expires: 2020-11-07

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.

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Associate Pharmacy Care Coordinator San Antonio, TX

UnitedHealth Group
San Antonio, TX 78205

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