19 hours
2018-08-142018-09-12

Pharmacy Care Coordinator - Marietta, GA

UnitedHealth Group
Marietta, GA
  • Job Code
    768684
768684 Pharmacy Care Coordinator Marietta GA

Pharmacy Care Coordinator - Marietta, GA (768684)

Position Description

Energize your career with one of Healthcare’s fastest growing companies.  

 

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

 

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

 

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

Positions in this function consult with customers, members, patients, providers, internal departments and / or external third parties on any or all of the following:- Consult with and coordinate initial set up and on-going treatment plan for specialty drug patients, including DURs, co-pay assistance, ancillary products, scheduling Pharmacist consults and / or RN visits, and liaison with provider offices on labs, refill orders and prior authorizations.

Primary Responsibilities:
  • Manage administrative intake of members or the admission / discharge information post notification
  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Receive care coordination notification cases for non-clinical assessment / intervention and provide appropriate triage.
  • Review requests for adverse determination, approval notification and processing notification requirements
  • Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
  • Handle resolution / inquiries from members and / or providers that may include:
  • Benefit and Eligibility information
  • Billing and Payment issues
  • Customer material requests
  • Physician assignments
  • Authorization for treatment
  • Explanation of Benefits (EOB)
  • Manage 50+ incoming / outgoing calls a day
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 6+ months of experience in a related medical, insurance or pharmaceutical setting (i.e. office, administrative, clerical, customer service, Retail Pharmacy; Pharmacy etc.) using phones and computers as the primary job tools
  • Pharmacy Tech License or the ability to obtain certification within 90 days
  • Ability to navigate a PC to open applications, send emails, and conduct data entry
  • Ability to work 40+ hours a week within the operating hours of the site with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
Careers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work.

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 workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Pharmacy; Care; Coordinator; prescription; clerical; admin; Marietta

Job Details

  • Contest Number768684
  • Job TitlePharmacy Care Coordinator - Marietta, GA
  • Job FamilyPharmacy
  • Business SegmentOptumRx

Job Location Information

  • Marietta, GA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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Pharmacy Care Coordinator - Marietta, GA

UnitedHealth Group
Marietta, GA

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