Job Posting: Pharmacy Care Coordinator
Location: San Antonio, TX 78257
Schedule: MondayFriday, 8:00 AM 5:00 PM CST
About the Role
Are you passionate about improving patient outcomes and closing gaps in care? Join our team as a Pharmacy Care Coordinator and play a vital role in supporting quality healthcare initiatives. This position is ideal for someone who thrives in a fast-paced environment, is detail-oriented, and enjoys working collaboratively with providers and patients.
Responsibilities
As a Pharmacy Care Coordinator, you will:
Conduct high-volume outbound calls to members using an auto dialer to address medication non-compliance, schedule pharmacy appointments, and gather follow-up information from providers
Handle inbound calls from members, assist with inquiries, and route calls appropriately
Validate member demographic information and follow system scripting protocols
Accurately document member and provider interactions in the system
Support PCPs and clinics with quality data collection and performance monitoring
Collaborate with local leadership to implement quality strategies and engage clinic staff in closing care gaps
Maintain up-to-date knowledge of HEDIS/STARs standards and guidelines
Provide reports and recommendations based on data analysis and chart reviews
Identify patients with missing measures and work to close gaps through education and appointment coordination
Perform other related duties as assigned
Ideal Candidate Profile
Were looking for someone who:
Is highly detail-oriented and comfortable multitasking across multiple computer programs
Can document efficiently while engaging in live calls with members or providers
Communicates clearly and professionally in a healthcare setting
Thrives in a team-oriented environment and is committed to improving patient care
Required Qualifications
Prior experience with HEDIS/STARs or similar regulatory reporting
Minimum 3 years of healthcare experience, preferably in a managed care setting
Minimum 3 years of experience in data analysis and quality chart reviews
Proficiency in Microsoft Office applications, including Word, Excel, and database tools