Pharmacy Coordinator

About the Role

This position supports medication adherence initiatives for Medicare Advantage members by coordinating outreach efforts with medical providers, pharmacies, and members. The role focuses on identifying and addressing medication adherence gaps, ensuring members obtain prescribed medications, and maintaining accurate documentation of outreach activities. The coordinator plays an important role in improving medication adherence rates and supporting overall quality performance measures.

Responsibilities

• Conduct initial outreach phone calls to medical providers and pharmacy providers to notify them of open medication adherence gaps for Medicare Advantage members.
• Send reminder email notifications to providers and pharmacies regarding medication adherence gaps that remain unresolved.
• Perform follow-up phone outreach to providers and pharmacies to ensure awareness and action regarding adherence gaps.
• Contact pharmacies and/or members to confirm that prescribed medications have been picked up.
• Maintain accurate logs and documentation of all outreach attempts and communications.
• Track and update adherence outreach activities in internal systems and spreadsheets.
• Utilize Microsoft Excel to track outreach activities, adherence status, and reporting metrics.
• Collaborate with internal teams to support medication adherence programs and quality improvement initiatives.
• Ensure all outreach and documentation activities comply with Medicare Advantage program requirements and organizational policies.

Requirements

• High school diploma or equivalent required; Associate’s or bachelor’s degree in healthcare administration, Pharmacy, Public Health, or a related field preferred.
• 1–3 years of experience in healthcare, pharmacy operations, managed care, or Medicare Advantage preferred.
• Experience working with providers, pharmacies, or healthcare outreach programs is a plus.
• Proficiency in Excel is required.
• Strong communication and phone outreach skills.
• Ability to interact professionally with providers, pharmacy staff, and members.
• Strong organizational and documentation skills with attention to detail.
• Proficiency in Microsoft Excel and Microsoft Office Suite.
• Ability to track multiple outreach activities and follow up effectively.
• Knowledge of Medicare Advantage or medication adherence programs is preferred.

Work Conditions

The work environment is a fast-paced, highly regulated office setting. Time frames to handle issues align with CMS, NCQA, and internal deadlines. The role involves interaction with providers, staff, visitors, government agencies, and others under varying conditions.

• Noise level is usually moderate.
• Physical activities include climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing, and visual acuity.
• Work is performed indoors with intermittent sitting, standing, bending, lifting, and movement during working hours.

Physical Demands

• Frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds.
• Regularly required to talk or hear.
• Frequently required to stand and walk.
• Occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl.
• Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Performance Measurements

• Monthly evaluations (3-5 per month).
• Compliance with department call metrics and company regulations.
• Attendance and punctuality.
• Safety and security adherence.
• Quality of work.