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Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.(sm)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.If you reside in Alabama, you’ll enjoy the flexibility to telecommute as you take on some tough challenges.Primary Responsibilities:Member Quality of Care
Make Medication outreach calls related to medication adherence, answer member questions related to adherence, educate as needed on RX benefits and document outcomes as appropriate
Identify patients for medication adherence barriers and collaborate with pharmacists, providers and pharmacies to develop a plan to increase patients' medication adherence
Make referrals to appropriate clinical programs and / or local resources to support continuity of care
Additional duties as necessary
Pharmacy Engagement and Support
Collaborate with independent pharmacies and “embed” as needed to improve the medication adherence performance for assigned pharmacies
Act as liaison between member, Pharmacist, and health plan
Report pharmacy outcomes to leadership
Provider Engagement and Support
Collaborate with prescribing clinician to update the members care plan and address medication adherence barriers
Serve as a resource to support Pharmacy initiatives that will lead to better star performance and outcomes
Act as liaison between member, Pharmacist and prescribing clinician
Be aware of active Medicare and Retirement Provider incentives specific to RX Measures
Report pharmacy outcomes to local URS Clinical Pharmacist, Practice Performance Manager, and health plan
Activities may include data collection, data entry, quality monitoring, HQPAF submission and chart collection activities
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)
2+ years of customer service experience speaking with patients and healthcare providers over the phone or in person
Pharmacy Technician license from the state of Alabama required, must be in good standing and certified by the State Board of Pharmacy
Ability to travel up to 50% of the time to selected pharmacies in the state of Alabama for implementation of initiatives and strategies, therefore must live in the state of Alabama (once deemed safe)
Proficient in Microsoft Outlook (script professional emails and update calendar), Microsoft Excel (create new, edit preexisting spreadsheets), and Microsoft Word (create new, edit pre - existing documents)
Ability to work Monday - Friday with a shift between the hours of 8am-6pm
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Preferred Qualifications:Proficiency in Microsoft PowerPoint (create new, edit pre - existing presentations, presentation skills)
Medicare knowledge in a pharmacy setting
Previous experience working within a physician, provider, and / or medical office
Experience in Medication Therapy Management (MTM)
Managed care experience
Electronic medical record and HEDIS knowledge and experience regarding clinical quality
2+ years of Pharmacy Technician experience
Ability to work independently in a virtual setting
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So 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 serve. Optum, 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 potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)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 workplace. Candidates are required to pass a drug test before beginning employment.Keywords: Optum, Alabama, AL, Mobile, telecommute, pharmacy, pharmacy technician, MTM, managed care, HEDIS, Medicare, healthcare, provider, #RPO
Vacancy expired!