Pharmacy Quality Coordinator

Department: Pharmacy

Employment Type: Full Time

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Reporting To: Monique Johnson

Compensation: $22.04 - $28.28 / hour

Description

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 You'll 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; Associate’s or Bachelor’s degree preferred
• 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

You're a great fit if:

• Active California Pharmacy Technician license
• Experience with Medicare Advantage plans, HEDIS, or CMS STAR measures
• Experience working with mail-order pharmacy programs
• Familiarity with electronic medical records (EMR) and pharmacy claims systems

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 humanresourcesdept@astranahealth.com 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.