About the Company
Optum, a part of UnitedHealth Group, is a leading health services innovation company dedicated to helping people live healthier lives and helping make the health system work better for everyone. We combine technology, data, and expertise to improve the delivery, quality, and efficiency of health care. Our managed care solutions are at the forefront of optimizing pharmacy benefits for millions nationwide, ensuring access to essential medications while controlling costs.
Job Description
Join Optum as a Managed Care Pharmacy Technician in our office-based setting in Wesley Chapel, FL. This vital role supports our pharmacists in processing prescription authorizations and managing pharmacy benefit inquiries. You will be instrumental in ensuring patients receive timely access to necessary medications by facilitating communication between providers, patients, and pharmacies. This position offers comprehensive benefits and a clear path for professional growth within a supportive team environment. If you are a certified pharmacy technician with a strong commitment to patient care and a desire to work in a dynamic office setting, we encourage you to apply.
Key Responsibilities
- Process prior authorization requests for prescription medications according to plan guidelines and established protocols.
- Communicate effectively with prescribers' offices, pharmacies, and patients to obtain necessary information or provide updates.
- Review and verify prescription information for accuracy and completeness.
- Research and resolve pharmacy benefit inquiries, coverage issues, and claim rejections.
- Maintain accurate and detailed records of all interactions and transactions in designated systems.
- Adhere strictly to all company policies, as well as state and federal regulations (e.g., HIPAA) regarding patient privacy and medication management.
- Collaborate with pharmacists and other healthcare professionals to ensure coordinated and efficient patient care.
- Participate in ongoing training and professional development to stay current with industry trends and plan changes.
Required Skills
- High School Diploma or GED
- Active Pharmacy Technician Certification (CPhT) through PTCB or NHA
- Current Pharmacy Technician registration/licensure in the state of Florida (if required)
- 1+ year of experience as a Pharmacy Technician, preferably in a managed care, retail, or hospital setting
- Proficiency with computer systems and data entry
- Excellent verbal and written communication skills
- Strong attention to detail and organizational abilities
- Ability to work effectively in a fast-paced, office-based team environment
Preferred Qualifications
- Associate's degree or higher
- Experience with pharmacy benefit management (PBM) systems or health plan formularies
- Knowledge of medical terminology and pharmaceutical calculations
- Experience with prior authorization processes
Perks & Benefits
- Comprehensive Medical, Dental, and Vision insurance plans
- 401(k) retirement savings plan with company match
- Paid Time Off (PTO) and company-paid holidays
- Tuition reimbursement and continuing education opportunities
- Career development and internal mobility programs
- Employee assistance program
- Wellness programs and resources
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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