UnitedHealth Group ?? Lead Pharmacy PA / Appeals Technician ?? Sugar Land, TX

Job title: Lead Pharmacy PA / Appeals Technician

Company: UnitedHealth Group

Job description: Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

You'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Review team stats/adherence (NICE app) and provide supervisor with feedback on individual and team progress. Supervisor should be included in all communication between a lead and team member. Open communication is important for consistency and success

Apply knowledge/skills to complex activities

Remain available to staff to answer questions via email or Teams

Ensure staff is clearly informed of all procedures and updates i.e. KnowledgeNow, PA communications (updates), training, refreshers, etc.

Make recommendations on efficiencies, improvements, or enhancements to existing workflow and process

Other duties/projects as assigned to assist your supervisor (such as BSL, Floor Marshall, POET, round table discussion, etc.)

Assist with WF chat, monitor tech??s OOA

CCR- Lead to address Ancillary task close to SLA for techs and notate resolution before sending

Work in production. Production expectation is 50% of shift (includes scheduled case building and/or phone coverage)

Assist regional or other personnel (internal and external) via SharePoint request or email and respond to requests (please complete any pending request after CCR)

Take escalated and/or supervisor calls

Complex tech cases (caller holding longer than 10min); Instruct tech to get call back info and lead call back once issue resolved if needed

Rotate Saturday Coverage (on-call or full shift) when scheduled Saturday SME is off per IEX schedule

What 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 Holidays

Medical Plan options along with participation in a Health Spending Account or a Health Saving account

Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

401(k) Savings Plan, Employee Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

More information can be downloaded at:

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:

High School Diploma/GED (or higher) OR 4+ years of experience as a Pharmacy Technician

Current Pharmacy Technician state license or National Certification without restrictions

Able to work 7am to 7pm with ability to work flexible hours, including OT and weekends

Preferred Qualifications:

Experience leading personnel towards the attainment of exceptional performance results

Understanding of call center performance metrics and measurements

Soft Skills:

Strong 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

Strong 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 work space/office in their home

Have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
?? All Telecommuters will be required to adhere to UnitedHealth Group??s Telecommuter Policy.

For more information on our Internal Job Posting Policy, .

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $18.17 to $32.26. The salary range for Connecticut / Nevada residents is $20.00 to $35.53. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you??ll find a far-reaching choice of benefits and incentives

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.

Job Keywords: health care, healthcare, Managed Care, Pharmacy Technician, Optum, OptumRx, UnitedHealth care, UnitedHealth Group, pharmacy, retail pharmacy, pharmacy technician license, remote, telecommute, work at home, work from home, WAH, WFH, hiring immediately, #RPO, Lead Pharmacy PA

Expected salary:

Location: Sugar Land, TX

Apply for the job now!

Apply Job!