Pharmacy Network Auditor - Quezon City

WHO WE ARE:
Optum is the fastest growing part of the UnitedHealth Group, a Fortune 6 company based in the United States who caters to the health care needs of over 85 million people across 33 countries
We are a diverse company with over 185,000 employees
We are a leader in nearly every aspect of today’s health care landscape
We leverage on having the largest single proprietary network of physicians, hospitals, health facilities, and caregivers in the United States In Optum, we believe that what makes you special can inspire your life’s best work.

Welcome to one of the toughest and most fulfilling ways to help people, including you. 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.SM
Join us today and unlock a world of rewards and benefits for performance, career growth, work-life balance and the opportunity to pursue your passion.
JOB QUALIFICATIONS:
Licensed Pharmacist with or without experience
Ability to multi-task
Must be willing to work on shifting schedules

WHAT WE OFFER:
Market Competitive Pay Levels
Retirement Plan
Medical Plan (HMO) from Day 1 of employment
Dental, Medical, and Optical Reimbursements
Life and Disability Insurance
Paid Time-Off Benefits
Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual Performance Based Merit Increases
Employee Recognition
Training and Staff Development
Employee Referral Program
Employee Volunteerism Opportunity
All Mandatory Statutory Benefits

ROLE AND RESPONSIBILITIESYou will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims.
You will guide and educate the customer about the fundamentals and benefits of consumer- driven health care topics to help manage their health and well-being. To do this, you will provide guidance in selecting the best benefit plan options and choosing a quality care provider.
You will intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance, when needed.
You will provide our customer real time resolutions or through comprehensive and timely follow-up with the member

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.SM
YOU MAY ALSO CHECK OUR OTHER OPPORTUNITIES ONLINE AT:

workatoptum.com
OR CLICK THE APPLY BUTTON BELOW