You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.   As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)  ***Position hours are Wednesday - Saturday (four 10 hour days, 7am-5:30pm with some flexibility), Overtime is voluntary, Weekend and Holiday, on call rotation. ***      Primary Responsibilities: Positions in this function perform various duties related to the prior authorization specialty medical injectable Interprets clinical information submitted by requesting physician (or physician representative) along with information in the patient's medical records to make determinations or recommend determinations of medical necessity Enters authorizations into the appropriate system to ensure accurate claims processing Provides explanations and interpretations within area of expertise to assist with the peer to peer process Interacts with providers to gain additional clinical information when needed Required Qualifications: BS in Pharmacy or PharmD degree Pharmacist license in good standing in state of job location 3 years of experience as a pharmacist in retail and / or hospital / facility Basic level of experience with Microsoft Word and Outlook with the ability to navigate a Windows environment Must be able to work the hours listed for this position Preferred Qualifications: Leadership experience Prior Authorization experience Experience with Specialty Medical Injections / Infusion Claims resolution experience Healthcare / Health plan experience Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)     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: Pharmacist, Medical Injection, Specialty Pharmacy, Prior Authorization, Medical records, Infusion, Telecommute, Telecommuting, Telecommuter, Remote, Work from home

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.