Job description


  • Entry level
  • No Education
  • Salary to negotiate
  • Avon


Position Description

You’ve heard this all your life. Trust matters.  Being trusted matters a lot.  Here at OptumRX we’ve earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You’ll take as many as 50 - 70 calls per day from members who have questions about their prescriptions and you’ll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career.
This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of (8:30am to 5:00pm). It may be necessary, given the business need, to work occasional overtime, including weekends and holidays. Our office is located at 145 Bodwell Street, Avon, MA.

Primary Responsibilities
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries
Ask appropriate questions and listen actively while documenting required information in computer systems
Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders
Make outbound calls to customers on prescription orders and payment issues
Prescription Processing / data entry
Complete and submit prior authorization paper work
Work with prescriber offices to facilitate PA submission

Required Qualifications:  
High School Diploma, GED or equivalent years of work experience
1+ years’ experience in a pharmacy environment working with the following: prescription processing, billing, claims, prior authorization
Current and active State of Massachusetts Pharmacy Tech License
Prior health care experience
Knowledge of billing / finance and eligibility processes, practices and concepts
Preferred Requirements:
3+ years’ experience in a pharmacy environment working with the following: prescription processing, billing, claims, prior authorization
Prior Authorization submissions experience
Soft Skills:
Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
Proficient in translating health care - related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon
Proficient conflict management skills including the ability to resolve stressful situations
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Customer service; Avon, MA; Pharm Tech; Technician; Pharmacy; OptumRx; Specialty

Job Details
Requisition Number
Job Title
Pharmacy Care Coordinator - Avon, MA
Job Family
Customer Services
Business Segment
Job Location

About the company

Our mission is to help people live healthier lives and to help make the health system work better for everyone.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 85 million people worldwide.

Our biggest point of differentiation is our people - and the collective talent, energy, intelligence and drive our force of 188,000 individuals around the world bring to our mission every single day. So, how do we do it? With our every action, interaction and intention that demonstrates the five fundamental values that guide everything we do:

• Integrity
• Compassion
• Relationships
• Innovation
• Performance

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