Senior Pharmacy Care Coordinator

Optum 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 Senior Pharmacy Care Coordinator supports prior authorization operations through advanced administrative processing and pharmacy-focused coordination. This role does not perform clinical review or medical necessity determinations but applies knowledge of pharmacy benefits and workflows to ensure accurate case processing and support cost-effective medication utilization through provider outreach.

Schedule: A 40-hour work week, Monday through Friday 8:00am to 5:30pm PST.  The schedule will be determined by the supervisor upon hire.

Location: Remote Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities: 

• Process and manage pharmacy prior authorization requests, ensuring completeness and accuracy of submitted information

• Review requests against established guidelines such as formulary and step therapy requirements to support appropriate routing and next steps

• Conduct outbound outreach to provider offices to communicate authorization requirements, formulary alternatives, or step therapy options

• Document case activity, outreach, and updates in system tools in accordance with standard procedures

• Coordinate with intake, clinical teams, and providers to ensure timely case progression and resolution of issues

• Identify and escalate complex or incomplete requests as needed

• Performs other duties as assigned

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: http://uhg.hr/uhgbenefits

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
• 3+ years of experience in prior authorization, pharmacy operations, or healthcare administrative support
• 1 + years of organizational skills and ability to manage programs with outcomes
• 1 + years of computer proficiency experience
• Ability to work a 40-hour work week between 8:00am to 5:30pm Pacific Standard Time
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection and installation. Candidate must have their own home internet access (internet can be hard wired with Ethernet cord)  Must be on camera for all team'