Senior Pharmacy PA/Appeals Technician | Cheyenne, Wyoming | Remote

Senior Pharmacy PA/Appeals TechnicianOptum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.The essential functions of a Senior Pharmacy PA/Appeals Technician are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.Position Schedule: Ability to work any shift from 6:00 AM to 10:00 PM timeframe with flexible hours, including OT and weekendsOn-Call Schedule: On call schedule is every 3 weeks for 7 days in row, pay includes a flat daily rate whether called in or not & includes normal hourly rate if called inIf you reside within the states of Wyoming, you will enjoy the flexibility to telecommute* as you take on some tough challenges.Primary Responsibilities:Manages a high volume of inbound and outbound calls, averaging 50+ dailyAnswering Prior Authorization inquiry calls/requests with customer service skills as well as research, clinical information system utilizations and resolve formulary and benefit issues using the appropriate reference materialProcess prior authorizations through multiple computer systems and use of job aids/policies/procedures ensuring the accuracy and compliance of all data and updating as necessaryResolve issues and complaints in a timely mannerHandle inbound phone requests and gathers member data to provide information for pharmacist consultationsAdditional Qualifications/Responsibilities:Have sharp attention to detail, using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug planPerforms other duties as assigned by managementPatient Safety & Quality Initiatives:Patient Safety and Quality of work 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 compromisedPromote a culture of safety that is equitable, transparent, and engaging for patients, family caregivers, and healthcare workforceEnhance workforce safety and well-being by mitigating physical and psychological risks, analyzing hazard data, and implementing supportive workplace strategiesLeadership will oversee the monitoring of safety event trends, provide feedback of safety initiatives, quality improvement efforts, and governance to develop responsive measurable action plansWhat are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:Active and unrestricted Pharmacy Technician license in the state of WyomingActive and unrestricted Pharmacy Technicians Certification Board (PTCB) OR ExCPT - Pharmacy Technician Certification with National Health career Association (NHA)6+ months of experience in customer service/customer relations with healthcare professionalsBasic level of proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails)Ability to work any shift from 5:00 AM to 12:00 AM timeframe with flexible hours, including OT and weekends and a rotating on call schedule every 3 weeks for 7 days in rowCurrently located in the state of WyomingPreferred Qualifications:Knowledge of Call Center systems such as CMS, IEX, CTI and TCSSoft Skills:Experience and strong communication skills, both written and oral that will help improve Net Promoter Survey (NPS)Ability to follow through on tasksPhysical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, using hands/fingers across keyboard or mouse, handling other objects, long periods working at a computerAbility to have their own home internet access (internet can be hard wired with ethernet cord)Have a secure workspace/office in their homeHave level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay 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 hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.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.#RPO #GREEN