Job Details

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