Remote Utilization Management Pharmacist Jobs in Minnesota

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

If you reside near Minnesota, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.

Primary Responsibilities:

• Process pharmaceutical rebates based on contract terms established and maintained in rebate billing system and monthly drug utilization reports
• Verify rebate eligibility by client formulary and line of business
• Run and audit rebate billing reports and submit invoices to pharmaceutical manufacturers
• Process incoming rebates, reconcile payments against billing invoice, resolve discrepancies and allocate rebates to clients
• Interprets and redlines rebate agreements prior to implementation and coding / loading to rebate billing system
• Identify system issues, enhancements and required testing for the rebate billing system
• Works with Industry Relations, Client Management, Clinical Services and assigned Pharmaceutical Manufacturers to identify rebate eligibility and formulary information
• Works with Rebate Accounting to identify issues related to payment collection and reconciliation

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/GED
• 2 years of accounting, finance, transaction analysis or related experience
• 2 years of experience anticipating customer needs and proactively developing solutions to meet them 
• Intermediate level of proficiency with Microsoft Excel (V-Lookups, Pivot Tables) 

Preferred Qualifications:

• Pharmaceutical, healthcare, or insurance experience
• Experience working with databases to load data, run queries, and perform reporting
• Customer service experience
• Experience working with large sets of data
• Revenue cycle management experience
• Finance experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $29.00 to $52.00 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.

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.

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