Provider Services Specialist

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM

This position provides support to our customers and their patients located throughout the United States and may require multiple licenses and/or certifications to practice across various States. Services provided to our customers and their patients include, but are not limited to: Medication Adherence, Medication Reconciliation, Management of refills and other care extension services. This position is the primary point of contact for all non-clinical activities related to Medication Management coordinating with the patient, pharmacies, and providers of medical care. Success is measured in terms of adherence to strict guidelines, improved patient outcomes, satisfied customers, meeting, or exceeding quality standards, producing consistent and high-quality work and collaboration with other team members to achieve objectives. You will work on assignments that are moderately complex and may require judgment when identifying barriers and conducting interventions. Routine work may be completed with little to no instruction, new assignments given with general instructions.

Schedule: 7:00am to 7:00pm EST (8-hour shift) schedule will be determined by the business and will be a set schedule for Monday through Friday

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

Primary Responsibilities:

• Answer telephonic and electronic messages related to patient refill requests to determine administrative appropriateness of submitting provider message to review refill request
• When indicated, schedule patients for an outpatient visit per existing scheduling protocols
• Interaction with internal and external customers, providing outstanding services utilizing superior customer service skills
• Answer questions and complete requests
• Refer and escalate to nurse or pharmacist when appropriate
• Accurately Maintain documentation and logs
• Advocate for and encourage and support patient
• Demonstrate superior customer service skills
• Actively identify barriers that have prevented patient from obtaining refill through pharmacy
• Maintain patient confidentiality per policies and procedures
• Communication with patients, providers, pharmacies, and provider office staff in a courteous, professional, cooperative, and mature manner
• May provide guidance and training to less experienced staff members
• Time entry in assigned tool(s) as required by management
• Timely response to email, IM and voice mail as required by management
• Active engagement in team meetings, discussions, and in-services
• Participate in business unit and/or team projects and quality initiatives
• Foster effective work relationships and team collaboration
• Performs other duties as assigned

Required Qualifications:

• High School Diploma/GED (or higher)
• 2+ years of relevant work experience, in related clinical experience
• Have a Certified Medical Assistant (CMA), Medication Administration Certification in assisting living care or personal care facility or Pharmacy Technician Certification

Preferred Qualifications:

• Experience with Electronic Medical Records and Practice Management system(s), including patient appointment and procedure scheduling
• Experience working remotely with patients in a telephonic capacity
• Excellent understanding of health service-related processes

Soft Skills:

• Capable of working under strict deadlines with little supervision
• Strong Analytical and interpersonal skills
• High Level of Computer literacy
• Capable of training others and answering questions from co-workers when needed
• Organized, Detail Oriented and able to work well with others

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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