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UnitedHealth Group

Davisburg, MI 48350
Posted at 05 Feb, 2024

Description

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.

You're looking for the next great thing for your career. How about creating the future of health care? Optum Frontier Therapies is a new pharmacy services business pioneering a better approach to care for patients with rare diseases; we are on a mission to support people with compassion while creating access to therapies at the frontier of health care. With us, you'll find a fast-paced, passionate and professional culture where you can use your talent and our resources to make a huge impact—ensuring that all people, no matter how unique, have the ability to access a better tomorrow. Take this opportunity to start doing your life's best work. SM

What makes your career greater with Optum Frontier Therapies ? You'll work with expert and enthusiastic peers, be part of a culture focused on both clinical outcomes and business results, and contribute to a growing team that prides itself on learning, evolving and challenging the status quo.

Positions in this function perform various duties related to the fulfillment of prescription orders. They may dispense any or all of the following: unit doses, specialty pharmaceuticals, injectables, IV, enterals and related supplies following state and federal regulations and company policies and procedures. They may compound medications using appropriate components, supplies and sterile/ventilated environment. They may process, pack and ship outgoing pharmacy orders, ensuring drug, related supplies and patient collateral (education materials) are included. They may also perform drug/supply ordering and inventory/warehouse duties, including proper storage of drugs and supplies and appropriate refrigeration of perishable product, monitor and adjust/calibrate pharmacy equipment and fill dispensing units.

Technicians in regional and local pharmacies may also perform the following as permitted by state regulation: prep and scan documents, verify member/patient data, submit prescription orders in computer system. They will contact members/patients to validate data, resolve rejected claims, request payment information, establish priority of order or delivery details, consult on medication issues, and set up treatment in on-site facilities. They will also interpret provider prescription and create orders, access, input and retrieve prescription and medical/lab information from computer systems and verify whether order/drug is reimbursable/covered.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 325 W. Atherton St. Flint, MI 48507.

We offer 4 weeks of paid training. The hours during training will be 8:00am to 4:30pm EST, Monday - Friday.

Primary Responsibilities:

  • Prepare and scan documents, verify member/patient data, submit prescription orders in computer system.
  • Contact patients to validate data, resolve rejected claims, request payment information, establish priority of order or delivery details, triage medication issues to pharmacist and prescribers, and coordinate treatment with on-site facilities personnel.
  • Interpret provider prescription and create order, access, input and retrieve prescription and medical/lab information from computer system, verifies whether order/drug is reimbursable/covered.
  • Acts as liaison between company, patients, insurances, manufacturers, and provider’s office via phone, fax, and e-mail communications.
  • Accepts prescriptions and makes sure all necessary information including insurance verification is available to process orders.
  • Accepts unique HUB enrollment forms and accurately enters into system specific to program design requirements
  • Accepts unique privacy forms and accurately enters into system specific to analyzing and understanding each from received.
  • Processes prescriptions through pharmacy dispensing software following all laws for each state for which the medication is being dispensed from.
  • Maintains documentation of calls to and from patients, caregivers, insurances, providers, and manufacturers.
  • Keeps current with new treatment trends.
  • Communicates patient status to physician’s offices/clinics.
  • Maintains patient confidentiality.
  • May also dispense any or all the following: specialty pharmaceuticals, injectables, cell gene therapies, and related supplies following state and federal regulations and company policies and procedures.
  • May also pick, pack and ship outgoing pharmacy orders, ensuring drug, related supplies and patient collateral (education materials) are included.
  • May also perform drug/supply ordering and inventory/warehouse duties, including proper storage of drugs and supplies and appropriate refrigeration of perishable product, monitor and adjust/calibrate pharmacy equipment.
  • May also pick, pack and ship outgoing specialty distribution orders, ensuring drug, related supplies and accurate documents are included.

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 equivalent experience
  • 1+ years of pharmacy experience 
  • Valid pharmacy technician license in good standing, State of Michigan
  • Ability to work our normal business hours of 8:00am – 5:00pm EST including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

  • 1+ years of working in a warehouse OR supply chain inventory environment
  • National PTCB certification
  • Specialty pharmacy experience

Soft Skills:

  • Be a team player and collaborate across functions
  • Customer service skills
  • Ability to multi-task and be detail oriented
  • Ability to work efficiently without creating distraction or disruption to other employees

Physical and Work Environment:

  • Ability to lift 50 pounds
  • Ability to stand for up to 8 hours with intermittent breaks

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.

 

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.

#RPO #RED