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in Avon, MA

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Hours Full-time, Part-time
Location AVON, MA
AVON, Massachusetts

About this job

Position Description:

Welcome to one of the toughest and most
fulfilling ways to help people, including yourself. We offer the latest tools,
most intensive training program in the industry and nearly limitless
opportunities for advancement. Join us and start doing your life's best work.

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.SMThis position is responsible for answering incoming calls, completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer service and maximizing productivity. This position is full-time (40 hours/week 8:30 am - 5:00 pm) Monday – Friday.  It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 145 BODWELL ST BLDG 2-STE A, AVON, MA 02322. Primary Responsibilities: Liaison between patient, doctor’s office, and insurance companyReceive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc.Must have the ability to set up orders for prescriptions (ability to review and explain prescription/medication/injectable or tablet)Complete prior authorizations and submit to doctor’s office for review – this includes completing patient, MDO, & insurance information and listing current medications. Through various computer systems, ensuring the accuracy of all data and updating as necessaryNavigate across multiple computer systems to respond to questions or to provide specific medication order detailsClarify and explain pharmaceutical benefits and procedures – if something is denied, we explain to the patient or doctor’s office

Requirements

Required Qualifications: High School Diploma/GED Pharmacy Technician License in the State of Massachusetts Work Shift 8:30 am - 5:00 pm Monday-Friday with occasional OT1+ year of pharmacy technician experience 1+ year of Customer Service experience analyzing and solving customer's problems Preferred Qualifications: Call Center experience1+ year of healthcare experience in an office setting 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.Keywords:  UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center, pharmacy technician, therapy team, prior authorization, pharmacy liaison, oncology