Medication Navigator

Optum NY/NJ, is seeking a Medication Navigator to join our team in the east coast of the United States. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. 

The Medication Navigator is responsible for outreaching and engaging with patients around adhering to medications. The Medication Navigator supports patient experience and clinical outcomes by ensuring patients can fill, refill, and take medications as prescribed by their provider. The Medication Navigator will help to identify barriers to adhering to medications and assist patients with navigating and overcoming challenges related to adherence. The Medication Navigator is a key contributor to the Quality Team by supporting strong performance against priority quality and patient experience measures.

Schedule: 8:30 am to 5:00 pm EST

Location: National Remote

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities: 

• Engage with patients, providers, and pharmacies to promote the timely fill or re-fill of medications, especially those that are routinely prescribed to manage cholesterol, hypertension, and diabetes. 
• Educate and empower patients to understand their prescribed medication regimen and its benefits.
• Serves as subject matter expert on pharmacy related measures, including MAD, MAC, MAH, SUPD, SPC
• Assists in the resolution of issues and elimination of roadblocks to ensure patients are positioned to fill or re-fill medications. Connect patients with resources to reduce cost, access mail delivery, and obtain 90/100-day refills. Serves as an escalation point for non-clinical staff members.
• Complete minimum daily goals for outreach (telephonic, email) to patients, providers, and pharmacies.
• Aides in the development of new programs and workflow evolution, such as management of high risk patients
• Assists in tracking and improving performance metrics and related initiatives.
• Extensive work experience within own function
• Work is frequently completed without established procedures
• Works independently
• May act as a resource for others 
• May coordinate others’ activities
• Applies knowledge/skills to a range of moderately complex activities 
• Demonstrates great depth of knowledge/skills in own function
• Sometimes acts as a technical resource to others in own function
• Proactively identifies solutions to non-standard requests 
• Solves moderately complex problems on own
• Works with team to solve complex problems
• Plans, prioritizes, organizes and completes work to meet established objectives
• May coordinate work of other team members
• Responsible for conducting outreach to patients, pharmacies, and providers to identify and overcome barriers, determine the root causes of non-adherence, and serve as a liaison between patients and healthcare providers.
• Medication Navigator responsibilities extend beyond basic outreach to patients, providers, and pharmacies. This role includes tracking outreach efforts and outcomes, proactively identifying and addressing barriers, and communicating with leadership to escalate issues and support solution development when needed.
•  Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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:

• High School Diploma/GED
• 1+ years of experience working with patients, preferably with experience supporting medication reconciliation or management
• 1+ years of experience with Microsoft Office products, including Word and Outlook
• Ability to work Monday through Friday 8:30 am to 5:00 pm EST
• Access to a designated quiet workspace in your home (separated from non-workspace areas) and is able to secure Protected Health Information (PHI) 
• Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Bilingual language proficiency (English/Spanish)
• Certification as a Pharmacy Technician, Medical Assistant, or Nurse or associate degree or bachelor’s degree in pharmacy or nursing
• 6+ months medical terminology knowledge base

Soft Skills: 

• Ability to work independently and maintain good judgment and accountability 

• Demonstrated ability to work well with health care providers 

• Strong organizational and time management skills 

• Ability to multi-task and prioritize tasks to meet all deadlines 

• Ability to work well under pressure in a fast-paced environment 

• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others 

• Ability to collaborate with your work team

*All Telecommuters 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 hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

#RPO #GREEN