Supervisor Pharmacy Operations PA or Appeals - Remote

UnitedHealth Group

  • Eden Prairie, MN
  • $58,800-105,000 per year
  • Permanent
  • Full-time
  • 13 days ago
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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Assist with the coordination, supervision and be accountable for the daily/weekly/monthly activities of team members
  • Engage team and ensure task completion and performance goals are met, such as: Quality, Adherence, Service Level and AHT
  • Coordinate work activities with other supervisors, managers, departments, etc.
  • Identify and resolve operational problems using defined processes, expertise, and judgment
  • Provide coaching and feedback to team members, including formal corrective action
  • Provide expertise and customer service support to members, customers, and/or providers
  • Lead, assist and be accountable for professional employees and/or supervisors
  • Safety is paramount and it’s important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
  • Licensure Requirement: Active National or State Board Pharmacy Technician Licensure
  • Pharmacy Technicians Certification Board (PTCB)
  • ExCPT - Pharmacy Technician Certification with National Healthcareer Association (NHA)
  • 1+ years of call center or prior auth pharmacy operations experience
  • Basic navigation skills with the following:
  • Microsoft Excel (ability to create, edit, and save a basic spreadsheet)
  • Microsoft Word (ability to create, edit, and save a basic document)
  • Microsoft Outlook (ability to send emails)
  • Willing or ability to work within the hours of 7am to 7pm local time with ability to work flexible hours, including weekends
Preferred Qualifications:
  • Experience leading personnel towards the attainment of exceptional performance results
  • Knowledge of Call Center systems such as CMS, IEX, CTI and TCS preferred
  • Understanding of call center performance metrics and measurements
Soft Skills:
  • Solid communication skills, both written and oral
  • Ability to hold team accountable
  • Ability to follow through on tasks
  • Needs to be able to strategize and understand business structure
  • Solid time management and attention to detail
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking
  • Ability to have their own home internet access/VPN (internet can be hard wired with Ethernet cord)
  • Have a secure workspace/office in their home
  • Have level skill with working with PC (ex. using mouse and keyboard, accessing, and navigating through multiple systems and screens)
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group