About the Company
OptumRx, a UnitedHealth Group company, is a leading pharmacy benefit manager dedicated to making health care work better for everyone. We manage prescription drug benefits for commercial, Medicare, Medicaid, and other government programs, serving millions of members nationwide. Our mission is to improve health outcomes, lower costs, and enhance the member experience through innovative pharmacy solutions and compassionate service.
Job Description
Join OptumRx as a Pharmacy Call Center Representative, where you’ll be the first point of contact for our members, providing exceptional chat support. This vital role focuses purely on customer service and information dissemination, without any medication dispensing responsibilities. You will assist members with inquiries regarding their pharmacy benefits, prescription status, eligibility, and general program information. We are looking for empathetic, detail-oriented individuals eager to make a positive impact on our members’ healthcare journeys. This is an excellent opportunity for those looking to start or advance their career in healthcare customer service in a supportive and dynamic environment.
Key Responsibilities
- Respond promptly and professionally to member inquiries via chat, providing accurate and comprehensive information.
- Assist members with questions about their pharmacy benefits, prescription coverage, co-pays, and formulary.
- Guide members through prescription refill processes and provide updates on prescription status.
- Resolve member issues and complaints effectively and efficiently, escalating complex cases to appropriate departments when necessary.
- Document all member interactions accurately and thoroughly in the company's CRM system.
- Maintain up-to-date knowledge of pharmacy policies, procedures, and benefit plans.
- Adhere to all HIPAA regulations and company privacy policies.
- Collaborate with internal teams to ensure a seamless member experience.
Required Skills
- High School Diploma or GED
- Minimum 6 months of customer service experience (call center or chat support preferred)
- Excellent written communication skills and ability to articulate complex information clearly.
- Proficiency in using computer systems, including CRM software and Microsoft Office Suite.
- Ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
- Strong problem-solving abilities and a customer-first mindset.
- Ability to work independently and as part of a team.
Preferred Qualifications
- Associate's degree or higher
- Experience in a healthcare or pharmacy setting.
- Familiarity with medical terminology or pharmacy benefit management concepts.
- Bilingual proficiency (especially Spanish).
Perks & Benefits
- Comprehensive health, dental, and vision insurance plans.
- 401(k) retirement savings plan with company match.
- Paid time off and company holidays.
- Tuition reimbursement program.
- Employee wellness programs and resources.
- Career development and growth opportunities within a Fortune 50 company.
- Employee assistance program (EAP).
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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