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Pharmacy Technician (Audits) Irvine, CA

Company: United healthcare Group
Location: Irvine
Posted on: October 10, 2020

Job Description:

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm) Primary Responsibilities: * Positions in this function analyze and monitor claims against fraud, waste and abuse related to network pharmacies * Investigates, reviews and analyzes claims data applying knowledge of pharmacy policy and practice and data mining techniques to determine details of fraudulent, erroneous, or abusive billing activity on Real Time Application System and various reports * Auditor will need to identify and documents fraudulent or erroneous activities determined as a result of their work. Auditors typically are licensed pharmacy technicians with in - depth knowledge of pharmacy operations 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 (or higher) * 1+ years Pharmacy Technician experience in a retail pharmacy environment or some type of specialized pharmacy * Pharmacy Technician License that is current and valid in the state of California * Basic experience in Microsoft Word (creating / updating documents) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas) * You will be asked to perform this role in an office setting or other company location * Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response ( i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained. Preferred Qualifications: * National Pharmacy Technician Certification * Experience with Specialty Pharmacy * Experience with Medicare Part D and B * Pharmacy Benefit Management (PBM) knowledge / experience Soft Skills: * Excellent written and verbal communication skills * Demonstrated ability to organize material from various, sometimes unrelated sources, analyze and draw logical conclusions UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. Some of the steps we've taken to ensure employee well-being include: * Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19 * Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time * Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices * Fully cover the COVID-19 healthcare costs for our employees * Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here. What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our COVID-19 Resources Page: click here. 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: retail, pharmacy audit representative, audit, UnitedHealth Group, OptumRx, pharmacy, Irvine, CA, California, hiring immediately Job Details * Requisition Number * Job Title Pharmacy Technician (Audits) - Irvine, CA * Job Family Pharmacy * Business Segment OptumRx Job Location Information * Irvine, CA United States North America Additional Job Detail Information * Employee Status Regular * Schedule Full-time * Job Level Individual Contributor * Shift Day Job * Travel No * Telecommuter Position No * Overtime Status Non-exempt

Keywords: United healthcare Group, Irvine , Pharmacy Technician (Audits) Irvine, CA, Healthcare , Irvine, California

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