Optum Prior Authorization Jobs in Florida (NOW HIRING)

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.

As a Specialty Pharmacy Liaison with CPS Solutions, LLC, you will engage directly with patients to coordinate pharmacy services through the health system's specialty and retail pharmacy. Acting as a bridge between patients, providers, and the pharmacy, this role focuses on improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient Care Services team and works under the direct supervision of a pharmacist.

Pharmacy Location: Located within Lee Health Specialty Pharmacy in Estero, FL

Schedule: Monday through Friday 8:30am-5:00pm, 40 hours per week

Primary Responsibilities:

• Serve as the primary point of contact between providers, specialty pharmacies, and patients to facilitate timely therapy initiation
• Coordinate prescription intake and referrals, ensuring accurate transmission of orders and required documentation
• Support prior authorizations and benefits investigations, collaborating with payers, pharmacies, and provider offices
• Educate patients on the specialty pharmacy process, including next steps, timelines, and access expectations
• Track prescription status and therapy progress, proactively resolving access, financial, or logistical barriers
• Collaborate with clinical and care teams to support adherence, continuity of care, and patient outcomes
• Ensure compliance with program, regulatory, and organizational requirements, including documentation and reporting standards

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
• Active Pharmacy Technician license in good standing in the state of Florida
• Recent work experience as a Pharmacy Technician

Preferred Qualifications:

• PTCB
• Experience supporting clinical pharmacy programs and performing administrative tasks such as prior authorizations and data entry
• Solid knowledge of medication regimens, age-specific dosing, and managed care practices
• Proficient in pharmacy systems, care management platforms, and Microsoft Office (Outlook, Word, Excel)

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $18 to $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.