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in Irvine, CA
PBM Service Specialist - Irvine, CA
Hours | Full-time, Part-time |
---|---|
Location | Irvine, CA Irvine, California |
About this job
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 healthcare 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.SM
Manages ongoing
contract relationships and service delivery to clients for one or more accounts.
Acts as outward-facing, dedicated resource for assigned accounts, typically with
direct client contact (not call center) and large or complex accounts.
Builds relationships with employer/group clients (not individual members)
and serves as the primary point of contact for overall and day-to-day service
delivery.
Represents client internally and coordinates with other functions to
implement client systems, complete projects, and address ongoing service needs.
This function includes employees who are in dedicated on-site service roles.
Jobs in this function may work closely with sales on renewals and
upselling, but incumbents do not have specific sales goal accountability or
primary responsibility to close sales. Account management jobs focused primarily
on relationship and service management belong in this family; jobs with
significant sales responsibilities or sales-related incentives (including 'OTH'
plans) belong in a sales band.
Primary Responsibilities:
- Manage ongoing contract relationships and service delivery to clients for
one or more accounts - Act as outward-facing, dedicated resource for assigned accounts,
typically with direct client contact (not call center) and large or complex
accounts - Build relationships with employer/group clients (not individual members)
and serves as the primary point of contact for overall and day-to-day service
delivery - Represent client internally and coordinate with other functions to
implement client systems, complete projects, and address ongoing service
needs - May work closely with sales on renewals and upselling, but incumbents do
not have specific sales goal accountability or primary responsibility to close
sales.
Requirements
- High School Diploma/GED.
- Medicare Part D experience.
- 1+ year of proven experience researching and resolving Customer Service
issues. - 1+ year of experience with Microsoft Word (creating and
editing documentation) and Excel (creating and editing spreadsheets, data
sorting, uploading and filtering). - Must have experience working in a team
environment.
Preferred Qualifications:
- Pharmacy Technician License.
- Customer Service experience in a Call Center environment..
- Claims Analyst experience in a Claim/Call Center environment.
- Pharmacy Benefit Management (PBM) knowledge.
- Microsoft Access experience.
- Microsoft Project.
- Microsoft PowerPoint experience.
- Presentation skills.
At
Optum, you will perform within an
innovative culture that's focused on transformational change in the Healthcare
system. You will leverage your skills across a diverse and multifaceted
business. And you will make contributions that will have an impact that's
greater than you've ever imagined.
Diversity creates a healthier atmosphere: 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.