Pharmacy Care Coordinator at The Judge Group
Job Description
Job Posting: Pharmacy Care Coordinator
Location: San Antonio, TX 78257
Schedule: Monday–Friday, 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
We’re 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
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