Pharmacy Care Coordinator - National Remote

Optum; Eden Prairie (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Pharmacy Care Coordinator to work remotely, providing essential support in medication adherence and member outreach. This role involves managing calls, ensuring quality standards, and assisting clinical staff. Ideal candidates will have experience in healthcare settings and strong communication skills.

Benefits

Comprehensive benefits packages

Incentive programs

401k

Stock purchase options

Qualifications

• At least 2 years of experience in a pharmacy/medical/healthcare setting.
• At least 1 year of administrative support experience.
• Proficiency with medical terminology.

Responsibilities

• Conduct inbound and outbound calls related to medication adherence and provider follow-ups.
• Manage calls and assignments to meet productivity and quality standards.
• Assist with clerical and administrative tasks for clinical staff.

Skills

Customer service

Communication

Organizational skills

Professional handling of escalated issues

Education

High School Diploma/GED or higher

Tools

Microsoft Office Suite

Job description

Pharmacy Care Coordinator - National Remote

Join to apply for the Pharmacy Care Coordinator - National Remote role at Optum.

About the Role

Optum is a global organization delivering care through technology to help millions live healthier lives. As a team member, your work will directly impact health outcomes by connecting people with necessary care, pharmacy benefits, data, and resources. We foster a culture of inclusion, talent, comprehensive benefits, and career growth. Join us to make a difference in communities and advance health on a global scale. Our motto: Caring. Connecting. Growing together.

Work Schedule & Location

Hours: Monday-Friday, 8am-8pm CST with rotating Saturday shifts (9am-6pm CST) every 3-4 weeks. You will have the flexibility to telecommute from anywhere within the U.S.

Primary Responsibilities

1. Conduct inbound and outbound calls related to medication adherence, member outreach, prescription refills, and provider follow-ups in a call center environment.
2. Manage calls and assignments to meet census, productivity, and quality standards.
3. Provide excellent communication and accurate information to customers.
4. Respond to escalated inquiries through various communication channels.
5. Review prescription claims and maintain eligibility information confidentially.
6. Support internal staff and providers with Medicare drug issues and application processes.
7. Assist with clerical and administrative tasks for clinical staff and managers.
8. Adhere to schedules and quality metrics.
9. Contribute to pharmacy quality improvement initiatives.
10. Assist in training new hires and staff.
11. Participate in meetings and committees as required.
12. Maintain professionalism, confidentiality, and compliance with policies.
13. Work independently with supervision as needed.
14. Perform other duties as assigned.

Minimum Qualifications

• High School Diploma/GED or higher.
• At least 2 years of experience in a pharmacy/medical/healthcare setting.
• At least 1 year of administrative support experience.
• Proficiency with Microsoft Office Suite.
• Experience with medical terminology.
• Call center experience.
• Basic troubleshooting system knowledge.
• Dedicated, private work area with high-speed internet.

Preferred Qualifications

• Certified/Registered Pharmacy Technician.
• Medical Assistant certification or training.
• Bilingual proficiency.
• Experience with Medication Adherence HEDIS Measures.
• Experience with Rx claims and call documentation platforms.
• Online softphone experience.

Soft Skills

• Professional handling of escalated issues.
• Excellent organizational, customer service, and communication skills.
• High professionalism, confidentiality, and adherence to policies.
• Ability to work independently.

Compensation & Benefits

Salary: $16.88 - $33.22/hour based on full-time employment, experience, and location. Benefits include comprehensive packages, incentive programs, stock purchase, and 401k. All benefits are subject to eligibility.

Additional Information

We consider qualified applicants with arrest and conviction records, in accordance with the San Francisco Fair Chance Ordinance. Employment is contingent upon passing a drug test. We are committed to diversity and equal opportunity employment.