Job Details

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind 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 costs, access mail delivery, and obtain 90-day refills. Serves as an escalation point for non-clinical staff members

• Complete minimum daily goals for outreach (telephonic, mail) to patients, providers, and pharmacies

• Review, audit, and report discrepancies around medication adherence reporting from payors

• Participate in meetings with Tri-State Leadership and payors to discuss innovative strategies and tactics for improving medication adherence

• Aides in the development of new programs and workflow evolution, such as management of high-risk patients

• Supports measure performance activities including chart review, abstraction, and submission to payors

• Mentors and trains non-clinical staff

• 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.)

• More information can be downloaded at:

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)

• Certification/license as a Pharmacy Technician, Medical Assistant, or Nurse OR Associate's Degree (or higher) in pharmacy or nursing

• 1+ years of experience working with patients, preferably with experience in supporting medication reconciliation or management

• Basic level of proficiency with Microsoft Office products, including Word and Outlook

• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Bilingual language proficiency (English/Spanish)

• 6+ months of experience with knowledge of medical terminology

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.

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

#GREEN, #RPO