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 programsCan document efficiently while engaging in live calls with members or providersCommunicates clearly and professionally in a healthcare settingThrives in a team-oriented environment and is committed to improving patient careRequired Qualifications
Prior experience with HEDIS / STARs or similar regulatory reportingMinimum 3 years of healthcare experience, preferably in a managed care settingMinimum 3 years of experience in data analysis and quality chart reviewsProficiency in Microsoft Office applications, including Word, Excel, and database tools