[Hiring] Medicare Advantage Benefits Pharmacy Tech @UnitedHealth Group

Role Description

This position is responsible for assisting the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits.

• Under the supervision of the Health Plan Pharmacy Manager and/or Supervisor, primarily responsible for triaging and/or resolving pharmacy services phone calls, audits, and monitoring functions.
• Processing coverage determinations per Medicare Part D program regulations.
• Assisting the Health Plan Pharmacy Services department with the management of Kelsey-Seybold Clinics’ Pharmacy Quality Initiatives (i.e. MTMP, Hospital Discharge, RXQI, and Adherence).
• Scheduling appointments and monitoring functions to ensure Pharmacy Initiatives are administered efficiently and accurately.
• Conducting outbound calls regarding patient adherence to medications and assisting patients to refill medications in a prompt and courteous manner utilizing a PC.
• General clerical duties including member mailings, verifying addresses for return mail, data entry, processing collection letters, and documenting member outcomes.
• Confirming appointments and handling cancellations in a timely, efficient, and courteous manner.
• Providing comprehensive service to facilitate resolutions to caller requests and triaging calls to appropriate team members when necessary.
• Acquiring and maintaining computer skills to effectively utilize software and Windows-based programs.

Qualifications

• High School diploma or GED from an accredited program.
• TSBP Registered Pharmacy Technician.
• 6+ months operational pharmacy benefit experience OR 6+ months experience in a high volume call center OR 6+ months of customer service experience OR 6+ months retail pharmacy experience.
• Proven good Alpha/Numeric data entry skills with minimal errors.
• Proven excellent customer service, telephone etiquette skills, and active listening skills.
• Proficient with computer applications including, but not limited to: Microsoft Word, Excel, and Access.
• Demonstrated solid problem-solving and analytical skills.
• Ability to type 20 WPM; 10 key by touch.
• Proven communication skills, professional appearance, and ability to work effectively in a fast-paced work environment.
• Ability to speak, write, and understand the English language.
• Detail-oriented with excellent verbal and written communication skills.

Requirements

• Some college or technical school.
• 2+ years of Medicare Part D experience.
• 2+ years of high-volume call center experience.
• 2+ years of HMO 3rd party managed care experience.
• Auditing experience.
• Ability to exercise good judgment during high call volume while maintaining a professional attitude.
• Bilingual English/Spanish.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Hourly pay for this role will range from $16 - $29 per hour based on full-time employment.