Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Pharmacist PA / Appeals - Costa Mesa, CA

Expired Job

Unitedhealth Group Inc. Costa Mesa , CA 92626

Posted 3 months ago

Energize your career with one of Healthcare's fastest growing companies.

You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

Position Description:

  • Review Prior Authorization cases and render coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment

  • Work is computer based and may include receiving phone calls from Prior Authorization Pharmacy Technicians and / or providers where clinical information is involved

  • Consult physicians / providers with questions and interpretations of clinical guideline criteria and coverage determinations that have been rendered

  • Participate in quality improvement and process enhancement projects as assigned by management

  • Consult with PA technicians and / or physicians regarding use of medications and advise of appropriate formulary alternatives when requested

  • Build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of OptumRx

  • Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team

  • Perform other duties as required

Required Qualifications:

  • BS in Pharmacy or PharmD Degree

  • Pharmacist license in good standing in the State of California

  • Strong drug product and clinical pharmacy knowledge

  • Ability to work an 8-hour shift within the hours of 9:00am to 7:00pm Monday - Friday, including Saturdays and/or Sundays by rotation

  • Ability to work overtime based on the needs of the business

Preferred Qualifications:

  • 1 years of practicing Pharmacist experience

  • 1 years of Pharmacist experience working in a clinical pharmacy practice setting

  • Experience developing or operationalizing medication clinical guidelines and/or formulary development

  • Experience working with a PBM company or managed healthcare system

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.

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: Pharmacist, PA, Appeals, Costa Mesa, CA


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sales Development Team Lead Remote Infrastructure Management Costa Mesa
New!

Planet Green Search

Posted Today

VIEW JOBS 12/18/2018 12:00:00 AM 2019-03-18T00:00 <strong>Our Client</strong> is a premier Infrastructure Management platform and service provider to enterprises across North America. They are a rapidly growing company with a unique mix of IP, technology, and innovative services. They are headquartered in Silicon Valley with extensive global operations.<br /> <br /> They enable enterprise IT to transform into a “Modern IT Service Provider” to their internal clients by leveraging our unique technology platform, operational processes and industrialized service delivery model. They are over 400+ people strong, well-funded, profitable and actively recruiting bright talents to fuel our growth and scale. Our unique Silicon Valley product development culture, flat organization structure, unrestricted growth opportunities and ability to impact in wealth creation for self and the company is ideally suited for leaders looking for entrepreneurial roles.<br /> <br /> With a powerful combination of our innovative SaaS technology platform, ITIL process implementations, and certified engineers in our Remote Operations Centers (ROCs), they are able to deliver SLA based services 100% remotely. While they focus on remote service delivery, our go-to-market channel partners (VARs, SIs, and service providers) bring the local IT consultancy, architectural know-how, deployment services and local last-mile support.<br /> <br /> Their clients see benefits of 30-50% cost savings in streamlining their IT operations by leveraging certain functions that are conducive and cost effective to be automated and delivered remotely, while freeing up their staff to focus on performance and availability of their core IT applications. Enterprise IT teams choose Our client as a partner to provide remote IT operations services for on-premise to cloud infrastructure on a 24x7x365 basis. In addition, the automation platform provides single-pane-of-glass views and visibility into heterogeneous and disparate IT infrastructure that can now be monitored, accessed and managed independent of where they exist – on-premise or cloud.<br /> <strong>Highlights:</strong> <ul> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Founded in 2004 – headquartered in San Jose, CA</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Patented Gartner Cool Vendor IMS and IT ops technology</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Strong technology driven process and runbook automation frameworks</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Global shared services delivery from both US and India</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Deep & broad team and expertise – 250+ certified IT professionals</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">24×7 coverage and SLA management</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Security, auditability, accountability and risk management</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Best practice ITIL, ITSM, and ISO27000 implementations and processes</li> </ul> <br /> <strong>Job Description</strong>: The SDR Team Lead is a gifted hunter who will lead a team of SDR’s to master the art of lead qualification and development for the North American market. Our ideal Sales Development Representative Team Leader is first and foremost an effective communicator both inside and outside the organization. The SDR Team Leader will be responsible for building and coaching a team of SDR’s who love to prospect, research and reach out to decision makers in order to bring back qualified prospects with a need for our software.<br /> <br /> <strong>What Will You Do?</strong> <ul> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Recruit, hire, train, lead, coach and manage a team of Sales Development Reps who are responsible for identifying and researching prospective clients through a mixture of research, cold calling, personalized email campaigns & networking. Motivate and maintain a high morale and culture of success for the SDR team.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Define, measure and implement best practices for Inbound SDRs. Achieve quarterly targets set by management. Understand Sisense diverse value proposition and sales pitch in order to effectively coach the SDR team to attract qualified prospects.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Provide ongoing market feedback reports and ways to refine positioning and inbound strategies.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Keep management informed by ensuring accurate and thorough records within Salesforce.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Weekly reporting on challenges, successes, and progress.</li> </ul> <strong>Requirements </strong> <ul> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Excellent written and verbal communication skills.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">Previous successful SDR management or team lead experience.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">The ability and desire to work in a fast-paced and challenging environment.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">The desire to meet and exceed measurable performance goals.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">The technical aptitude to master Salesforce.</li> <li style="padding: 0; margin: 0;" style="padding: 0; margin: 0;" style="padding: 0; margin: 0;">A keenly developed competitive nature. </li> </ul> <strong>Location: Costa Mesa, CA<br /> <br /> What You'll Get:</strong><br /> ·       Base plus commission, OTE $120k plus<br /> Medical, Dental, and Vision Insurance<br /> ·       401K Planet Green Search Costa Mesa CA

Pharmacist PA / Appeals - Costa Mesa, CA

Expired Job

Unitedhealth Group Inc.