Description
Do you want to make a difference in healthcare?
Landmark Health, part of the Optum and UnitedHealth Group family of businesses, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.
Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities.
Support the Pharmacist and NC market by assisting with medication therapy management, patient safety, and quality improvement initiatives. This position will be responsible for the implementation and tracking of pharmacist medication optimization recommendations, triaging incoming pharmacy tasks and referrals, and executing pharmacy reporting. The pharmacy technician will serve as a subject matter expert on Health Plan formularies and pharmacy benefits and will serve as an additional resource to support the market medication and supply system.
Schedule will be Monday-Friday, 8am-5pm.
Primary Responsibilities:
- Contact community providers and prescribers via fax and phone regarding pharmacist recommendations, track status, triage NC pharmacy fax inbox for responses
- Follow up with Landmark and community providers regarding proposed medication changes
- Triage incoming Landmark Pharmacy tasks and referrals and track status
- Contact community pharmacies to verify co-pays and/or to investigate medication access issues on behalf of patients
- Educate and provide support to the market by answering questions about Health Plan formularies and pharmacy benefit packages including but not limited to prior authorizations process, B vs D determinations, Medicare prescription drug coverage determination process
- Provide support and guidance to patients and the market on medication adherence by actively communicating pill packaging, home delivery, and mail order solutions
- Execute pharmacy claims and/or quality reports as needed to identify opportunities for Pharmacist consult
- Actively support market with performance/quality issues on medication inventory and McKesson Orbits
- Ensure market compliance by verifying market is ordering Landmark approved medications/supplies and are managing inventory appropriately in McKesson Orbitz and following appropriate point of care medication administration procedures
- Provide support to the Pharmacist and the market during annual flu campaign
- Provide support to the Pharmacist and market on important operational and clinical tasks including but not limited to: care coordination, telephonic campaigns and surveys, transitions of care, medication therapy management (MTM), collection of clinical data and community provider records, market-based pilots
- Actively participates in the implementation of performance/quality improvement, patient engagement, and patient safety activities with the Landmark Team
- Perform other duties and projects as assigned
Competency:
- Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives
- Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Generates suggestions for improving work and workflow
- Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics
- Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things
- Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Participates in meetings. Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information
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 or equivalent
- Basic knowledge of Microsoft Office Suite
- Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
Preferred Qualifications:
- Active/current National Pharmacy Technician Certification (PTCB, NCCT, or ExCPT)
- 3+ years of current/recent pharmacy or PBM experience
- Geriatric or Medicare Part D experience
- Ability to work in a fast-paced environment that is constantly changing
- Excellent telephonic customer service
Physical Demands:
- Regular requirement to sit; use hands to touch, handle or feel
- Regular requirement to talk and listen
- Occasional requirement to stand; walk and reach with hands and arms
- Occasional requirement to lift and/or move up to 10 pounds
- Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus
Work Environment:
- Will travel as needed to both market office locations, Durham and Winston-Salem
- Noise level is usually moderate
- Expected to work normal business hours between 8:30am-5pm Monday - Friday from the Durham office
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)
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.
