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Pharmacy Care Coordinator - National Remote

Optum
paid time off, paid holidays, tuition reimbursement, 401(k)
United States, Texas, San Antonio
May 09, 2025

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.

The Pharmacy Care Coordinator will effectively support the successful implementation and execution of all pharmacy programs and processes. The Pharmacy Care Coordinator will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during outreach calls. May serve as a subject matter expert for other Pharmacy Care Coordinators on the Quality Pharmacy team.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:



  • Provides clerical and/or administrative support to clinical staff and managers for clinical programs
  • Receives and responds to escalated pharmacy inquiries
  • Exhibits excellent phone and communication skills while providing complete and accurate information to include but not limited to clinicians, members, and manager
  • Adheres to an assigned schedule and quality metrics
  • Uses a multi-lined telephonic to answer and place calls
  • May serve as a Subject Matter Expert (SME) for other Pharmacy Care Coordinators on the Clinical Pharmacy Team
  • Completes calls/assignments to meet weekly and monthly productivity standards
  • Document administrative work and other telephonic communications into internal database
  • Provides excellent customer service by serving as a resource for all internal and external customers
  • Participate in and contribute to staff meetings and other staff development opportunities and interdepartmental work groups
  • Identify areas of improvement where systems modifications could result in operational advancements and efficiencies
  • Assesses and interprets customer needs and requirements
  • Identifies solutions to non-standard requests and problems
  • Translates concepts into practice
  • Acts as a resource for others with less experience
  • Other duties as assigned


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.)


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 administrative support experience
  • 1+ years of experience in a customer service environment
  • 1+ years of experience in medical terminology knowledge
  • 6+ months experience in a medical setting
  • Advanced level of proficiency with Microsoft Word, Excel, Outlook, PowerPoint
  • Ability to maintain strict confidentiality to include but not limited to patients and coworkers
  • Ability to work in a rapidly changing and highly matrixed environment


Preferred Qualifications



  • Certified Pharmacy Technician (CPhT)
  • PBM experience (pharmacy benefit manager)
  • Advanced knowledge of NCPDP and other types of prescription drug claims
  • Working knowledge of Medicare Part B and D coverage guidelines and payment methodologies / previous retail pharmacy experience
  • Previous Call Center experience
  • High degree of professionalism, to always include both personal conduct and appearance
  • Strong interpersonal skills
  • Excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, and managers
  • Ability to work independently, as well as a member of a team, with some supervision and direction from managers


*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #Green


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