Pharmacy Quality Coordinator

California, CA - USA

Hourly Salary: $ 22 - 28

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

The Pharmacy Quality Coordinator is responsible for conducting member outreach to address care gaps and improve medication adherence through education support and follow-up. This role plays a key part in advancing pharmacy quality initiatives by collaborating with members providers pharmacists and internal teams to ensure accurate medication management and timely resolution of issues.

What Youll Do

Conduct outbound outreach to members to address care gaps and improve medication adherence
Educate members on the importance of medication compliance and assist in overcoming barriers to adherence
Identify and document adherence barriers escalating complex cases when appropriate
Assist members with mail-order pharmacy enrollment and prescription coordination
Confirm current medication regimens and reconcile discrepancies
Collaborate with physician offices pharmacists and internal departments to clarify prescription orders and resolve medication-related issues
Support pharmacy quality initiatives tied to HEDIS STAR ratings and other performance measures
Provide administrative support including batch mailings faxing documentation and case tracking
Prioritize and manage outreach cases using Excel and internal systems
Create and maintain reports to track outreach efforts outcomes and quality metrics
Maintain accurate reference documentation and adhere to compliance guidelines
Participate in required trainings meetings and departmental activities
Perform other job-related duties as assigned

Qualifications

High school diploma or equivalent required;
1 year of experience in healthcare pharmacy health plan operations quality improvement or member outreach
Knowledge of medication adherence concepts and pharmacy terminology
Experience conducting outbound calls in a professional healthcare setting
Strong communication skills with the ability to educate and engage members
Proficiency in Microsoft Excel (sorting filtering basic formulas) and Microsoft Office Suite
Strong organizational skills with the ability to manage multiple priorities
Ability to work independently in a remote environment

Youre a great fit if:

Associates or Bachelors degree
Active California Pharmacy Technician license
Prior work experience in a pharmacy setting (i.e. retail pharmacy) or managed care setting
Bilingual in Spanish

Environmental Job Requirements and Working Conditions

This is a remote role. The home office is aligned with your department at 600 City Parkway West 10th Floor Orange CA 92868.
The national target pay for this role is $22.04 - $28.28 per hour. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics. All employment is decided on the basis of qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Required Experience:

What Youll Do

Conduct outbound outreach to members to address care gaps and improve medication adherence
Educate members on the importance of medication compliance and assist in overcoming barriers to adherence
Identify and document adherence barriers escalating complex cases when appropriate
Assist members with mail-order pharmacy enrollment and prescription coordination
Confirm current medication regimens and reconcile discrepancies
Collaborate with physician offices pharmacists and internal departments to clarify prescription orders and resolve medication-related issues
Support pharmacy quality initiatives tied to HEDIS STAR ratings and other performance measures
Provide administrative support including batch mailings faxing documentation and case tracking
Prioritize and manage outreach cases using Excel and internal systems
Create and maintain reports to track outreach efforts outcomes and quality metrics
Maintain accurate reference documentation and adhere to compliance guidelines
Participate in required trainings meetings and departmental activities
Perform other job-related duties as assigned

Qualifications

High school diploma or equivalent required;
1 year of experience in healthcare pharmacy health plan operations quality improvement or member outreach
Knowledge of medication adherence concepts and pharmacy terminology
Experience conducting outbound calls in a professional healthcare setting
Strong communication skills with the ability to educate and engage members
Proficiency in Microsoft Excel (sorting filtering basic formulas) and Microsoft Office Suite
Strong organizational skills with the ability to manage multiple priorities
Ability to work independently in a remote environment

Youre a great fit if:

Associates or Bachelors degree
Active California Pharmacy Technician license
Prior work experience in a pharmacy setting (i.e. retail pharmacy) or managed care setting
Bilingual in Spanish

Environmental Job Requirements and Working Conditions

This is a remote role. The home office is aligned with your department at 600 City Parkway West 10th Floor Orange CA 92868.
The national target pay for this role is $22.04 - $28.28 per hour. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Required Experience: