UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Pharmacy Technician Supervisor — Houston, TX-312996
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
- Positions in this function perform various duties related to the fulfillment of prescription orders.
- Interprets physicians' prescriptions and creates order, accesses, inputs, and retrieves prescription information from computer system, verifies whether order is reimbursable.
- Dispenses any or all of the following: unit doses, specialty pharmaceuticals and injectibles; may compound medications.
- Consults with customers, patients and/or physicians regarding use of medications and potential drug interactions.
- Consultations may be telephonic or in person.
- Reviews and approves/denies requests for prescription prior authorizations.
- Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit.
- Impact of work is most often at the team level.
PURPOSE OF JOB:
- Positions in this function perform various duties related to the fulfillment of prescription Prior Authorizations.
- Assist the PNS Director with oversight of daily operations and technical personnel, with routine decisions that include staffing and workload assessments, scheduling, and recommendations for candidate selection.
- Reviews and interprets physicians' requests for prior authorizations and creates cases as appropriate.
- Accesses, inputs, and retrieves necessary prescription information from computer system
- Consults with customers (physicians, pharmacies) regarding status of prior authorization
- Provides work direction to team of pharmacy technicians
REPONSIBILITIES:
- Process prior authorization requests and accurately documents clinical information associated with the requests
- Research and resolve pharmacy claims/formulary/edit issues
- Communicate decisions directly to members and physicians; complete telephonic notification of decisions as required
- Document communication activities and provide required reports
- Troubleshooting issues as they arise from physicians, pharmacies, and members
- Identify system and process-related changes to improve prior authorization process
- Apply knowledge/skills to complex activities, including those that may vary from day to day
- Demonstrate a depth and breadth of knowledge/skills in own area and is often able to apply these outside of own function
- Often acts as a technical resource to others in own function
- Participate in the training of new and existing employees
- Routine assessment of employees for adherence to defined metrics
- Manages day to day work for team or Pharmacy Technicians
- Works with the Director and Lead Pharmacist to resolve operational issues
- Understands legal limitations of technicians when performing duties and refers situations requiring clinical judgment to a pharmacist
- Applies knowledge/skills to complex activities, including those that vary from day to day.
- Demonstrates a depth and breadth of knowledge/skills in own area and is often able to apply these outside of own function.
- Often acts as a technical resource to others in own function.
- Anticipates customer needs and proactively identifies solutions.
- Solves complex problems on own; proactively identifies new solutions to problems.
- Plans, prioritizes, organizes and completes work to meet established objectives.
- Acts as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function.
RELATIONSHIPS:
- Reports into the Director, Prior Notifications Services
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. Qualifications QUALIFICATIONS:
- High school education or equivalent experience.
- 2+ years of experience in a retail, hospital or managed care pharmacy environment
- 2+ years leading a team
- Pharmacists must have a current license without restrictions and Pharmacy Technicians must have current state license or national certification without restrictions based on regulatory requirements of worksite
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
