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Optumrx Prior Authorization Jobs (NOW HIRING)

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Optumrx Prior Authorization information

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How much do optumrx prior authorization jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for optumrx prior authorization in the United States is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.43 per hour, depending on experience, location, and employer.

What is an OptumRx Prior Authorization?

An OptumRx Prior Authorization is a review process used by OptumRx, a pharmacy benefit manager, to determine if a prescribed medication is medically necessary and covered under a patient's pharmacy benefit plan. Before certain medications are approved and paid for by insurance, providers must submit documentation showing the need for the drug. This process helps ensure safe, effective, and cost-efficient use of prescription medications, sometimes requiring alternative therapies to be tried first. If approved, the patient can receive the medication with their insurance coverage; if denied, alternative options may be recommended.

What are some common challenges faced by OptumRx Prior Authorization specialists, and how can they be overcome?

OptumRx Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, keeping up with frequent policy updates, and managing high call or case volumes. These challenges require strong attention to detail, effective communication with providers and patients, and the ability to quickly adapt to changing guidelines. To overcome these obstacles, specialists benefit from ongoing training, utilizing internal knowledge bases, and collaborating closely with pharmacists and other team members to ensure accurate and timely authorizations.

What are the key skills and qualifications needed to thrive as an OptumRx Prior Authorization specialist, and why are they important?

To thrive as an OptumRx Prior Authorization Specialist, you need a solid understanding of pharmacy benefit management, medication terminology, and insurance processes, typically supported by a pharmacy technician certification or relevant healthcare experience. Familiarity with prior authorization software, claims processing systems, and electronic health records is essential. Strong attention to detail, communication skills, and problem-solving abilities help you efficiently evaluate requests and interact with providers and patients. These skills ensure accurate, timely medication access and compliance with insurance policies, directly impacting patient care and satisfaction.

What is the difference between Optumrx Prior Authorization vs Pharmacy Technician?

AspectOptumrx Prior AuthorizationPharmacy Technician
CredentialsMay require licensing or certification depending on stateHigh school diploma or equivalent; certification optional
Work EnvironmentHealthcare administration, insurance, and pharmacy settingsRetail or hospital pharmacy settings
Employer & IndustryHealth insurance companies, pharmacy benefit managersPharmacies, hospitals, healthcare facilities
Primary ResponsibilitiesReviewing and obtaining prior authorizations for medicationsProcessing prescriptions, assisting pharmacists, customer service

Optumrx Prior Authorization specialists focus on managing insurance approvals for medications, requiring knowledge of insurance policies and healthcare regulations. Pharmacy Technicians handle medication dispensing and customer support in pharmacy settings. While both roles involve pharmacy-related tasks, they differ in responsibilities, credentials, and work environments.

More about Optumrx Prior Authorization jobs

What cities are hiring for Optumrx Prior Authorization jobs?

Cities with the most Optumrx Prior Authorization job openings:

What states have the most Optumrx Prior Authorization jobs?

States with the most job openings for Optumrx Prior Authorization jobs include:

What are popular job titles related to Optumrx Prior Authorization jobs?

For Optumrx Prior Authorization jobs, the most frequently searched job titles are:

Infographic showing various Optumrx Prior Authorization job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Part Time Pharmacist Community

Bridgeport, WV • On-site

UnitedHealth Group
Insurance Services • 10K+ employees

$44.09 - $78.70/hr

Full-time, Part-time

Retirement

Posted 23 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz


Job description

Opportunities with Genoa Healthcare.  A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

At OptumRx, a part of the UnitedHealth Group family of businesses, we're reinventing Pharmacy Benefit Management by taking Pharmacists out of a retail or hospital setting and letting them care for our members over the phone. It's a chance to work in a non-traditional setting as you consult with physicians regarding medications and overall wellness. Even better, you'll enjoy greater freedom and still have an opportunity to positively impact our members' lives.

Primary Responsibilities:

  • Review requests for prescription prior authorizations
  • Oversee the activities of pharmacy technicians, pharmacy clerks and customer service advocates
  • Perform all duties and functions in compliance with state and Federal pharmacy laws and regulations
  • Support department quality assurance and improvement guidelines

Success in this role will depend heavily upon your customer service skills and ability to thrive in a fast-paced, call center environment. You must also be able to work a variety of shifts based on need.


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:

  • BS in Pharmacy or Pharm D degree
  • Current and unrestricted pharmacist licensure (include state specific if required)
  • 1+ years of experience in a retail pharmacy setting
  • Demonstrated ability to work various shifts (as needed)

Preferred Qualifications:

  • PBM or Managed Care experience
  • Call center experience

UnitedHealth Group is working to create the health care system of tomorrow.


Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.


Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

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 $44.09 to $78.70 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.  


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