FAQs
Do we support remote work?
Yes, this position allows for remote work from anywhere within the U.S.
What are the main responsibilities of the PA Appeals Pharmacist Lead?
The primary responsibilities include evaluating prescriptions and patient histories, consulting with customers and physicians, conducting quality assurance, reviewing formulary and utilization management guidelines, and making determinations on pharmacy coverage decisions based on clinical information.
What qualifications are required for this position?
The required qualifications include an active, unrestricted Pharmacist license, 2+ years of experience as a licensed Pharmacist, experience in Coverage Determinations or member appeals, and intermediate computer proficiency.
Is a Pharm D preferred for this role?
Yes, a Pharm D is listed as a preferred qualification for this position.
What work hours are expected for this role?
The position requires adherence to a schedule of M-F 8-5 PM or 9-6 PM local time, with rotating weekends and holidays.
What benefits does UnitedHealth Group offer?
UnitedHealth Group offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase options, and 401k contributions, among others.
Is prior experience in pharmacy benefit management (PBM) beneficial for this role?
Yes, experience in PBM is listed as a preferred qualification for this position.
Will employees be required to pass a drug test?
Yes, candidates are required to pass a drug test before beginning employment.
What is the hourly pay range for this role?
The hourly pay range for this role is $42.31 to $83.27 per hour, based on several factors including local labor markets and experience.
Does this position involve working with Medicaid or Medicare plans?
Yes, experience in Medicaid, Commercial (private), and/or Medicare Part D prescription drug plans is preferred for this role.