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Pharmacy Care Coordinator / Provider Advocate - Avon, MA

UnitedHealth Group

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Job Details

761169 Pharmacy Care Coordinator Provider Advocate Avon MA

Pharmacy Care Coordinator / Provider Advocate - Avon, MA (761169)

Position Description

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work

Positions in this function consult with customers, members, patients, providers, internal departments and / or external third parties on any or all of the following:- Consult with and coordinate initial set up and on-going treatment plan for specialty drug patients, including DURs, co-pay assistance, ancillary products, scheduling Pharmacist consults and / or RN visits, and liaison with provider offices on labs, refill orders and prior authorizations.

Primary Responsibilities:

  • Provider advocate
  • Works closely with providers
  • Improving service and increase open market revenue
  • Direct dial line for providers to contact you for escalated issues
  • Liaison between the providers and sales team
  • Ensure a smooth transition for prescriptions from point of intake to delivery
  • Work from a referral list provided by account manager
  • Handle prior authorizations to ensure there are not any delays in the process
  • Run test claims as needed
  • Insurance Benefit verifications
  • Working with patients to complete profiles and set up deliveries
  • Working with high touch/profile accounts/provider offices.
  • Building and maintaining professional relationships in a  work environment

  • High School Diploma / GED or higher 
  • State of Massachusett Pharmacy Tech License
  • 2+ years of Pharmacy experience
  • Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
  • Previous experience working with Prior Authorizations


  • Previous experience working in a Pharmacy Benefit Management environment
  • Previous Specialty Pharmacy Experience
  • Previous experience in a client-facing role

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.


If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.SM

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.


Keywords:  client-facing, Rx, Prior Authorization, Provider, Provider Advocate, OptumRx, Specialty Pharmacy, Pharmacy Tech, Pharm Tech, PBM

Job Details

  • Contest Number761169
  • Job TitlePharmacy Care Coordinator / Provider Advocate - Avon, MA
  • Job FamilyPharmacy
  • Business SegmentOptumRx

Job Location Information

  • AVON, MA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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