Optum Prior Authorization Jobs in Oregon (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 full-time, non-exempt Specialty Pharmacy Liaison 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.

Primary Responsibilities:

• Greeting patients upon arrival to the clinic
• Explaining the benefits of our specialty pharmacy and successfully enrolling patients into the program
• Performing all insurance benefit investigations, prior authorization, claim rejects, overrides, etc.
• Working with patients to find financial aid (grants, manufacture programs, discount cards, etc.) to ensure they have access to the medications they need
• Data/order entry and verification of patient information
• Prepare and dispense medications by measuring, counting, labeling, and packaging prescriptions under the supervision of a licensed pharmacist
• Providing direct support to enrolled patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome.  This includes:
  • Conducting outbound phone calls for patient support, adherence checks and refill reminders
  • Appropriately triaging any clinical questions to the appropriate clinician (pharmacist, nurse or provider)
  • Participating in conference and workshops to help promote CPS
     

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
• Registered, or the ability to become registered as a pharmacy technician in the State of Oregon
• Experience interacting with physicians, nurses and other healthcare professionals (preferably in a medical clinic)
   

Preferred Qualifications:

• Registered, or the ability to become registered as a pharmacy technician in the State of Oregon is a plus
• Experience as a pharmacy liaison/technician
• Experience in a health systems specialty pharmacy as an in-clinic technician
• Experience working with various disease states
• Knowledge of benefit investigations, prior authorization support and patient financial assistance work
• Proficiency in Microsoft Office products, EMR systems (EPIC, Cerner or Meditech) and dispensing systems (QS1, RX30 or Computer Rx)
   

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12  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.