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Manager, Pharmacy Operations - Prior Auth - Jacksonville, FL

UnitedHealth Group

Jacksonville, FL
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Job Details

746801 Manager Pharmacy Ops Prior Auth Jacksonville FL

Manager, Pharmacy Operations - Prior Auth - Jacksonville, FL (746801)

Position Description

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm) 

The Manager, Pharmacy Operations - Prior Authorization will manage this call center based business segment and utilize strict work guidelines in place. They will strive to build / grow a cohesive team and manage upward as well as oversee teams of supervisors for pharmacists and technicians. Must have a Florida Pharmacist License in good standing without any restrictions.

Primary Responsibilities:

  • Manage 6 direct reports - Supervisors, with accountability for 90 indirect staff 

  • Driven and dedicated to high performance and have highly developed skills in running large contact and / or operational processing centers

  • Establish new and continually improve existing performance measures / expectations with staff and follow up appropriately to ensure the success of each employee and supervisor

  • Responsible for creating, controlling and improving operational efficiency and performance, implementing quality initiatives for prior authorization and identifying improvement opportunities

  • Responsible for the use of quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools

  • Coordinate, supervise and accountable for the daily / weekly / monthly activities of each team

  • Set priorities for the team to ensure task completion and performance goals are met, such as: Quality, Adherence, Service Level and AHT

  • Coordinate work activities with other supervisors, managers, and other department verticals

  • Identify and resolve operational problems using defined processes, expertise and judgment

  • Provide coaching and feedback to team members, including formal corrective action

  • Conduct annual performance reviews for team members

  • Provide expertise and customer service support to members, customers, and / or providers

  • This role is based in our Jacksonville, FL location and will support a team there as well as a team in a secondary / site location. Occasional travel to this site will be required


Required Qualifications:

  • BS Pharmacy

  • Active Florida Pharmacist License in good standing without any restrictions

  • 2+ years of staff leadership experience in an operations setting
  • 2+ years of experience leading a team in attaining exceptional performance results
  • 4+ year of experience in pharmacy or PBM
  • Ability to understand complex processes and make appropriate business recommendations
  • Ability to succeed in a regulatory environment
  • Strong communication skills and interpersonal skills

Preferred Qualifications:

  • Pharm D

  • Seasoned operations leader, demonstrated experience in operations processes and metrics

  • Experience using performance management tools and processes in a leadership capacity

  • Experience motivating a team via team development practices

  • Experience leading through change management and/or process improvement initiatives

  • Experience using Six Sigma / lean processes

  • Workforce management experience

  • Knowledge of Call Center systems such as CMS, IEX, CTI and TCS

  • Prior Authorization experience

  • Experience in a client facing role  



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

Already Fortune 6, 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.



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.




Job Keywords:  Pharmacist, Pharmacy, Pharm D, Prior Authorization, Prior Auth, PBM, Pharmacy Benefit Manager, Operations, Ops, Florida, FL, Jacksonville, Jax, Duval




Job Details

  • Contest Number746801
  • Job TitleManager, Pharmacy Operations - Prior Auth - Jacksonville, FL
  • Job FamilyPharmacy
  • Business SegmentOptumRx

Job Location Information

  • Jacksonville, FL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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