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Pharmacy Care Coordinator
Pharmacy Care CoordinatorThe Judge Group • Plano, TX, US
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Pharmacy Care Coordinator

Pharmacy Care Coordinator

The Judge Group • Plano, TX, US
[job_card.30_days_ago]
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  • [job_card.full_time]
[job_card.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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