1+ months

Pharmacy Prior Authorizations/Appeals Technician - Las Vegas, NV - 895827

Las Vegas, NV 89101
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  • Job Code
    895827
  • Jobs Rated
    41st

Getting it right here with our pharmacy team is just the starting point for excellence, impact and purpose in your career. Join us and take everything to another level. Learn more about how you can start doingyour life's best work.(sm)

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We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This isyour life's best work.(sm)

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The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here atOptumRX, we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training and tools in the world. As aPharmacy Prior Authorizations/Appeals Technician, you will be responsible for the accurate and timely processing of prescription orders, answering incoming calls, completing outbound calls to/from physicians and pharmacists while ensuring a high level of customer service and maximizing productivity.

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Primary Responsibilities:

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  • Process member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
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  • Navigate across multiple computer systems to respond to questions or to provide specific medication details/clinical information
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  • Receive incoming calls from providers and conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc.
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  • Apply benefit plan criteria when making decisions (approvals/denials) or recommendations
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  • Educate providers on pharmaceutical benefits
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  • Partner with others to gather additional information and/or to interpret clinical guidelines
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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.

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Required Qualifications:

  • High School Diploma or GED
  • Licensed in the state of Nevada as a Pharmacy Technician
  • 2+years of experience in pharmacy
  • 1+ years of experience with Microsoft Word
  • You will be asked to perform this role in an office setting or other company location.
  • Employees are required to screen for symptoms using theProtectWellmobileapp, Interactive Voice Response (i.e., entering your symptoms via phonesystem)or a similar UnitedHealth Group-approved symptom screener prior toentering the work site each day, in order to keep our work sites safe.Employees must comply with any state and local masking orders.In addition, when in a UnitedHealth Group building, employees are expectedto wear a mask in areas where physical distancing cannot be attained.


Preferred Qualifications:

  • PTCB National Certification
  • 2+ years of experience within a PBM environment


UnitedHealth Group is an essential business.The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.


Some of the steps we've taken to ensure employee well-being include:


  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
  • Fully cover the COVID-19 healthcare costs for our employees
  • Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home


You can learn more about all we are doing to fight COVID-19 and support impacted communities:click here.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our COVID-19 Resources Page:click here.



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: Prior Authorizations, Appeals, Pharmacy Technician, prescription drug programs, Las Vegas, NV, Nevada, hiring immediately

Jobs Rated Reports for Pharmacist

Posted: 2020-11-25 Expires: 2021-02-22

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Pharmacy Prior Authorizations/Appeals Technician - Las Vegas, NV - 895827

UnitedHealth Group
Las Vegas, NV 89101

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Pharmacist
41st2019 - Pharmacist
Overall Rating: 41/199
Median Salary: $126,120

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