Pharmacy UM Coordinator 1 (Glendale) – VSP

Local Jobs Humana
  • United States, Glendale, AZ 85303 View on Map
  • Post Date : September 16, 2020
  • Apply Before : October 16, 2020
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Job Description

The Pharmacy UM Coordinator contributes to our member’s perfect service experience by streamlining our intake processes in pharmacy utilization management. The UM Administration Coordinator 1 (official job title) performs basic clerical and operational plus some customer support tasks. Typically works on routine and patterned assignments.


Responsibilities

The UM Administration Coordinator 1 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation. Role does require ongoing receptiveness to training and performance feedback, as compliance mandates are continuously updating and we are audited against our adherence to these.


Required Qualifications

  • High School Diploma
  • Administrative or technical support experience
  • Excellent verbal and written communication skills
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role), recommended speed is 10Mx1M
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications

  • Proficient utilizing electronic medical record and documentation programs
  • Proficient and/or experience with medical terminology and/or ICD-10 codes
  • Bachelor’s Degree in Business, Finance or a related field
  • Prior member service or customer service telephone experience desired
  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

#HCPRPharmacy


Scheduled Weekly Hours

40

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