Full-Time Pharmacist

As a Pharmacist PA/Appeals you will perform live telephonic outreach to UHC Medicare members to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.

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

Primary Responsibilities:

• Decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
• Navigate across multiple computer systems to respond to questions or to provide specific medication details / clinical information
• Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc
• Apply benefit plan criteria in making decisions (approvals / denials) or recommendations; clarify and explain pharmaceutical benefits and procedures
• Safety is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised

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:

• Current and unrestricted Pharmacist license in the state of residence
• Beginner level of proficiency navigating MS Office and a Windows-based environment

Preferred Qualifications:

• Knowledge of call center systems such as CMS, IEX, CTI and TCS

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