Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
The Care Team Associate (CTA) will effectively support the successful implementation and execution of all pharmacy programs and processes. The Care Team Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Care Team Associate will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.
- Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
- Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff
- Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
- Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
- Collects and maintains eligibility information in an appropriate and confidential manner
- Interviews applicants by phone for program requirements
- Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
- Exhibits excellent phone and communication skills while providing complete and accurate information to customers
- Requests additional or supplemental information via correspondence in order to complete applications
- Adheres to assigned schedule and quality metrics
- Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
- Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
- Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
- Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
- Provides excellent customer service by serving as a resource to all internal and external customers
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.
- High School Diploma or GED
- 6+ months experience in a medical setting
- Basic knowledge of Microsoft Office products, including Word and Outlook
- Medical terminology knowledge base
- Proven ability to work independently, with some supervision and direction from manager
- Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
- Maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
- Maintain strict confidentiality at all times to include but limited to patients and coworkers
- Comply with all organizational policies regarding ethical business practices
- Adhere to all department policies and procedures
- Certified Medical Assistant training or certification
- 2+ years of experience in a physician’s clinic or hospital
- Bilingual language proficiency (English/Spanish)
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.