Pharmacy Prior Authorization Analyst - Pittsburgh - Full-time / Part-time

As one of the largest managed care organizations in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations or our members, with a better schedule then retail and more reach than any hospital.  Join us and start doing your life's best work.

Employees in this position will perform various duties related to the prior authorization guidelines that are utilized by the pharmacy department to review requests for non-preferred medications and medications that require prior authorization. Primary responsibilities include translating clinical guidelines created by clinical pharmacists and converting them into a decision tree format that will be utilized by the prior authorization team to review medication requests, updating existing decision trees and being a primary point of contact when issues with the decision tree are identified. 

Qualifications

Minimum of 3 years of pharmacy experience
Proficient with Microsoft Office products

Assets
Undergraduate degree

Experience working in Managed Care or a PBM is preferred

Certified pharmacy technician

Experience working with prior authorizations

Ability to translate prior authorization guidelines into a decision tree template

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

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.