Pharmacy Benefit Implementation Specialist - Tucson, AZ

As a Pharmacy Benefit Implementation Specialist, you will
play a critical role in creating a quality member experience by accurately
implementing and revising assigned pharmacy benefit plans. You will construct
and revise prescription plans cost and coverage levels in alignment with the
client's predetermined requirements. You will need a high degree of personal
accountability, attention to detail, and engage in proactive problem solving
while completing repetitive data entry tasks.

If you're like us, you're always looking for ways to be at
your best. Is this your opportunity to shift to a gear you didn't know you had?

Primary Responsibilities:

• Planning, processing, and maintaining new group installation
  and renewals of pharmacy benefit plans
• Researching and resolving any pharmacy benefit issues with
  assigned pharmacy plan
• Perform claim testing to ensure accurate claim adjudication
• Research errors by comparing Account Management
  documentation against multiple internal systems
• Utilize Microsoft excel  for comparison formulas and
  creating planning in basic spreadsheet format
• Research and respond to claims processing inquiries from
  Client Management, Clinical, and other internal departments
• Prioritize caseloads based on business and customer need
• Perform other duties as assigned 

Requirements:

• High School Diploma/ GED
• 1+ year years of experience in a healthcare insurance
  environment using the telephone and computer as the primary instruments to
  perform job duties
• 1+ year experience in accurately entering data in multiple
  systems or platforms
• Familiarity with computer and Windows PC applications, which
  includes the ability to learn new and complex computer system applications
• Ability to remain focused and productive each day though
  tasks may change or alternate
• Ability to multi-task, this includes ability to understand multiple
  products and multiple levels of benefits within each product
• Excellent attendance with ability to meet work schedule
  including the required training period

Assets:

• Certified Pharmacy Technician
• Previous experience in a pharmacy retail environment
• Previous experience in a Pharmacy Benefit Management
  environment performing a benefit related function
• Previous experience using RxClaims or RX Construct

There are several steps in our hiring process – it's
thorough process because we want to ensure the best job and culture fit for you
and for us. In today's ultra-competitive job market, the importance of putting
your best foot forward is more important than ever. And you can start
by completing all required sections of your application. (i.e. profile,
history, certifications and application/job questions). Once you submit your
resume, you'll receive an email with next steps. You can at any time, but you will also be
notified via e-mail.

If this sounds like the right opportunity for you, don't
wait to apply!

OptumRx is an empowering place for people with the
flexibility to help create change. Innovation is part of the job description.
And passion for improving the lives of our customers is a motivating factor in
everything we do.

If you're ready to talk about groundbreaking interactions,
let's talk about what happens when a firm that touches millions of lives decides
to gather results from millions of prescriptions every month and analyze their
impact. Let's talk about smart, motivated teams. Let's talk about more
effective and affordable health care solutions. This is caring. This is great
chemistry. This is the way to make a difference. We're doing all this, and
more, through a greater dedication to our shared values of integrity,
compassion, relationships, innovation and performance.  Join us and start
doing your life's best work.

Diversity creates a healthier atmosphere: All qualified
applicants will receive consideration for employment without regard to race,
color, religion, sex, national origin, protected veteran status, or disability
status.

UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment. In addition,
employees in certain positions are subject to random drug testing.

Keywords: Pharmacy Benefit Management, Pharmacy Benefits,
Pharmacy, Pharmacy Technician, Pharmacy Plan, PTcB, UHG, UnitedHealth Group,
OptumRX, Tucson, AZ, Arizona