Pharmacy Coordinator

Summary:

• Work Mode: Remote (Indiana preferred); Eastern Time business hours.
• Duration: 4 months, possible extension based on business need/performance; conversion not anticipated for this temp assignment.
• Shift: Monday-Friday, 8:30am-5:00pm ET (flex as needed for outreach/operational needs). Occasional OT may be required during peak measure cycles.

Responsibilities:

• Review assigned quality measure reports and identify members/providers/pharmacies with open gaps.
• Execute outreach to members/guardians, provider offices, and pharmacies via calls, letters, and faxes.
• Document outcomes and troubleshoot medication access barriers, escalating issues as needed.
• Maintain measure trackers, summarize outreach results, and communicate updates to the pharmacy/quality team.
• Ensure timely completion of assigned outreach within SLA/cadence and accurate documentation and tracking.
• Contribute to the measurable closure of gaps and reduction of outstanding adherence/quality opportunities.
• Maintain strong attention to PHI compliance and member experience.

Requirements:

• Required Education: High School Diploma/GED.
• Required Licensure: Pharmacy Technician License.
• 3 years of pharmacy technician/pharmacy operations experience (managed care and/or quality/outreach experience strongly preferred).
• Disqualifiers: No active/eligible Pharmacy Technician license (Indiana), inability to work independently, poor communication/customer service skills, discomfort with outbound outreach, inability to use Excel for report review/tracking, non-compliance with PHI/required documentation.

Preferred Skills:

• Highly organized self-starter with strong attention to detail.
• Able to prioritize competing deadlines across multiple measures.
• Confident in communicating with provider offices/pharmacies and members/guardians.
• Experience with HEDIS/Stars measures and medication adherence interventions.
• Proactive problem-solver who can identify barriers and escalate appropriately.
• Pharmacy technician operations expertise, including medication access support such as prior auth/formulary navigation.
• Advanced Excel/report skills for filtering/sorting, data cleanup, and ability to build/maintain trackers and summarize results.
• Quality measure/HEDIS outreach workflow experience, including interpreting measure gap lists, executing outreach, and documenting outcomes.