Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization

December 29, 2025

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Opportunities at Optum, in strategic partnership with Allina Health.<span class="normaltextrun" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:none !important;mso-color-alt:windowtext;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;" data-contrast="auto" xml:lang="EN-US"> As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start <span class="normaltextrun" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:none !important;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;" data-contrast="auto" xml:lang="EN-US">Caring. Connecting. Growing together.<span class="eop" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;mso-color-alt:windowtext;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;"> <o:p></o:p>Job Summary: Responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services.<o:p></o:p>You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.<o:p></o:p>Primary Responsibilities:<o:p></o:p><ul type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Confirm that a patient’s health insurance(s) is active and covers the patient’s medication<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Ensure that initial and all subsequent authorizations are obtained in a timely manner<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Initiating prior authorizations for medications<o:p></o:p></li></ul>You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.<o:p></o:p> Required Qualifications:<o:p></o:p><ul type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">High School Diploma/GED (or higher)<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">6+ months of experience with insurance and pharmacy benefit verification, pre-experience with prior authorization activities in healthcare business office/insurance operations<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">6+ months of experience using basic retail medication knowledge<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Intermediate level of proficiency with Microsoft Office products<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Must be 18 years of age OR older<o:p></o:p></li></ul>Preferred Qualifications:<o:p></o:p><ul type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Associate degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Experience working with clinical staff<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Previous experience working in outpatient and/or inpatient healthcare settings<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Experience working in clinical documentation<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Previous experience working with a patient’s clinical medical record<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Retail pharmacy experience<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">EPIC experience<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Payer portals and/or covermymeds experience<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">CphT or CMA certification<o:p></o:p></li></ul>Soft Skills:<o:p></o:p><ul type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Excellent customer service skills<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Excellent written and verbal communication skills<o:p></o:p></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;">Demonstrated ability to work in fast paced environments <o:p></o:p></li></ul><o:p> </o:p>Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.<span class="eop" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;mso-color-alt:windowtext;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;"> <o:p></o:p><o:p> </o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"><span class="eop" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;"> <span class="eop" style="-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;"> <o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"><u1:p></u1:p>Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"> <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;">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. <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"> <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;">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.<u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"><u1:p></u1:p> <o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"> <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;">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.<o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"> <u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:center;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"><u1:p></u1:p>UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.<u1:p></u1:p><o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"><u1:p></u1:p> <o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;"> <o:p></o:p><p style="-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin:0in 0in 9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;">#RPO #GREEN<o:p></o:p><o:p></o:p><u1:p></u1:p>

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