The Judge Group
Job Title:
Pharmacy Care Coordinator Location:
San Antonio, TX Work Schedule:
Monday – Friday, 9:00 AM – 6:00 PM (Training: Monday – Friday, 8:00 AM – 5:00 PM) Interview Mode:
Face-to-Face or Microsoft Teams Job Summary The
Pharmacy Care Coordinator
plays a critical role in supporting the implementation and execution of pharmacy programs and processes. This position ensures operational responsibilities are met, assists pharmacy staff, and determines eligibility for members applying for the Medical Assistance Program (MAP). The role involves handling member inquiries, conducting outreach calls, and troubleshooting issues identified during member engagement. The Pharmacy Care Coordinator may also serve as a subject matter expert for peers on the Quality Pharmacy team. Key Responsibilities Respond to escalated pharmacy inquiries via phone, portal, claims queue, email, or fax. Screen MAP enrollment requests and prepare administrative documentation for clinical staff. Conduct inbound and outbound calls for program requirements, including patient scheduling, surveys, reminder calls, and census management. Initiate processes for granting, modifying, denying, or terminating assistance, and refer applicants to other agencies when necessary. Collect and maintain eligibility information confidentially. Interview applicants by phone and enter applications within specified timeframes to meet eligibility deadlines. Request additional information to complete applications and ensure accuracy. Adhere to assigned schedules and quality metrics. Utilize multi-line telephonic systems for eligibility-related calls. Stay updated on program qualifications to troubleshoot eligibility issues. Serve as a subject matter expert for other team members when required. Meet weekly and monthly productivity standards for calls and census management. Provide clerical and administrative support for special projects and reports. Deliver excellent customer service to internal and external stakeholders. Attend meetings and participate in committees as needed. Perform other duties as assigned.
Additional Information Training:
2 weeks, Monday–Friday, 8:00 AM – 5:00 PM. Post-training schedule:
Monday–Friday, 9:00 AM – 6:00 PM. Expected to make approximately
1,400 calls per month
and connect with
1,000 patients
to support medication adherence and maintain a
4+ CMS Star Rating
for the Central TX region.
Pharmacy Care Coordinator Location:
San Antonio, TX Work Schedule:
Monday – Friday, 9:00 AM – 6:00 PM (Training: Monday – Friday, 8:00 AM – 5:00 PM) Interview Mode:
Face-to-Face or Microsoft Teams Job Summary The
Pharmacy Care Coordinator
plays a critical role in supporting the implementation and execution of pharmacy programs and processes. This position ensures operational responsibilities are met, assists pharmacy staff, and determines eligibility for members applying for the Medical Assistance Program (MAP). The role involves handling member inquiries, conducting outreach calls, and troubleshooting issues identified during member engagement. The Pharmacy Care Coordinator may also serve as a subject matter expert for peers on the Quality Pharmacy team. Key Responsibilities Respond to escalated pharmacy inquiries via phone, portal, claims queue, email, or fax. Screen MAP enrollment requests and prepare administrative documentation for clinical staff. Conduct inbound and outbound calls for program requirements, including patient scheduling, surveys, reminder calls, and census management. Initiate processes for granting, modifying, denying, or terminating assistance, and refer applicants to other agencies when necessary. Collect and maintain eligibility information confidentially. Interview applicants by phone and enter applications within specified timeframes to meet eligibility deadlines. Request additional information to complete applications and ensure accuracy. Adhere to assigned schedules and quality metrics. Utilize multi-line telephonic systems for eligibility-related calls. Stay updated on program qualifications to troubleshoot eligibility issues. Serve as a subject matter expert for other team members when required. Meet weekly and monthly productivity standards for calls and census management. Provide clerical and administrative support for special projects and reports. Deliver excellent customer service to internal and external stakeholders. Attend meetings and participate in committees as needed. Perform other duties as assigned.
Additional Information Training:
2 weeks, Monday–Friday, 8:00 AM – 5:00 PM. Post-training schedule:
Monday–Friday, 9:00 AM – 6:00 PM. Expected to make approximately
1,400 calls per month
and connect with
1,000 patients
to support medication adherence and maintain a
4+ CMS Star Rating
for the Central TX region.