Job Description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The essential functions of a Pharmacist Manager in Prior Authorization are providing leadership to licensed pharmacists and licensed pharmacy techs who will utilize their expertise and customer service to support members, customers, and/or providers. This leadership position exists that proper supervision is provided to a team of pharmacist clinicians who are conducting clinical case review of medication coverage determination requests for prescribers and members with a direct impact on client satisfaction; while meeting business goals for the Wyoming Medicaid client.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

• Primary Responsibilities:
• Position coordinates, supervises and is accountable for the daily operations as well as daily activities and performance of team (8-15 team members)
• Provides leadership, direction, and guidance to the team to ensure quality, productivity, and regulatory / contractual goals and requirements are met
• Provides a positive work environment and achieves creativity and teamwork among employees
• Sets team direction, resolves problems and provides guidance to team
• Ensures policy and procedures are appropriately followed. Identifies and communicates improvement opportunities and reports to the department Manager
• Participates and provides representation in inter - department meetings and workgroups with the Clinical Services & Client Services teams of OptumRx to ensure Prior Authorization department issues and needs are addressed
• Participates in quality improvement and process enhancement projects as assigned by management
• Safety is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
• Patient Safety & Quality Initiatives:
• Patient Safety and Quality of work is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
• Promote a culture of safety that is equitable, transparent, and engaging for patients, family caregivers, and healthcare workforce
• Enhance workforce safety and well-being

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:

• Doctorate of Pharmacy
• Active Wyoming State Pharmacist License
• 2+ years of practicing pharmacist experience
• Experience in direct and/or indirect leadership roles
• Ability to work 8-hr shift, between the local hours of 7am to 7pm with flexibility, including weekends
• Resident of Wyoming
• Ability to travel to Cheyenne, Wyoming a minimum of 1 time a month

Preferred Qualifications:

• 1+ years of operations experience, leading tasks, staff and/or projects
• 1+ years of experience in a client-facing role
• Prior Authorization experience, Medical PA experience, previous supervisory experience, Managed care and/or PBM experience
• Experience operationalizing medication clinical guidelines and / or plan benefits
• Experience leading personnel towards the attainment of exceptional performance results
• Knowledge of call center systems such as Pulse and/or IEX
• Understanding of call center performance metrics and measurements
• Basic navigation skills with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails) and Microsoft Teams

Soft Skills:

• Solid communication skills, both written and oral
• Ability to hold team accountable
• Ability to follow through on tasks
• Needs to be able to strategize and understand business structure
• Solid time management and attention to detail

Physical Requirements and Work Environment:

• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
• Ability to have their own home internet access (internet can be hard wired with ethernet cord)
• Have a secure workspace/office in their home
• Have intermediate level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)

*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 salary for this role will range from $110,200 to $188,800 annually 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.

Skills Required