[Hiring] Medication Navigator @UnitedHealth Group

Role Description

The Medication Navigator is responsible for outreaching and engaging with patients around adhering to medications. The Medication Navigator supports patient experience and clinical outcomes by ensuring patients can fill, refill, and take medications as prescribed by their provider. The Medication Navigator will help to identify barriers to adhering to medications and assist patients with navigating and overcoming challenges related to adherence. The Medication Navigator is a key contributor to the Quality Team by supporting strong performance against priority quality and patient experience measures.

Schedule: 8:30 am to 5:00 pm EST

Location: National Remote

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

Primary Responsibilities:

• Engage with patients, providers, and pharmacies to promote the timely fill or re-fill of medications, especially those that are routinely prescribed to manage cholesterol, hypertension, and diabetes.
• Educate and empower patients to understand their prescribed medication regimen and its benefits.
• Serve as subject matter expert on pharmacy related measures, including MAD, MAC, MAH, SUPD, SPC.
• Assist in the resolution of issues and elimination of roadblocks to ensure patients are positioned to fill or re-fill medications.
• Connect patients with resources to reduce cost, access mail delivery, and obtain 90/100-day refills.
• Serve as an escalation point for non-clinical staff members.
• Complete minimum daily goals for outreach (telephonic, email) to patients, providers, and pharmacies.
• Aide in the development of new programs and workflow evolution, such as management of high risk patients.
• Assist in tracking and improving performance metrics and related initiatives.
• Conduct outreach to patients, pharmacies, and providers to identify and overcome barriers, determine the root causes of non-adherence, and serve as a liaison between patients and healthcare providers.
• Track outreach efforts and outcomes, proactively identify and address barriers, and communicate with leadership to escalate issues and support solution development when needed.
• Perform other duties as assigned.

Qualifications

• High School Diploma/GED
• 1+ years of experience working with patients, preferably with experience supporting medication reconciliation or management
• 1+ years of experience with Microsoft Office products, including Word and Outlook
• Ability to work Monday through Friday 8:30 am to 5:00 pm EST
• Access to a designated quiet workspace in your home (separated from non-workspace areas) and is able to secure Protected Health Information (PHI)
• Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications

• Bilingual language proficiency (English/Spanish)
• Certification as a Pharmacy Technician, Medical Assistant, or Nurse or associate degree or bachelor’s degree in pharmacy or nursing
• 6+ months medical terminology knowledge base

Soft Skills

• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
• Ability to collaborate with your work team

Benefits

• 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.)