Pharmacy Outreach Coordinator

• Provide administrative support for pharmacy programs and projects designed to generate revenue, lower pharmacy spend, reduce member out-of-pocket costs, and improve quality metrics
• Conduct provider, member, and pharmacy outreach for clinical programs, including therapeutic interchange and cost‑saving or quality‑improvement initiatives
• Work closely with clinical and analytic staff
• Analyze financial progress reports and prioritize tasks according to stakeholder expectations
• Serve as an outpatient medication access specialist for local and out-of‑area members
• Perform routine quality checks on system applications and functions
• Recommend methods for documenting, tracking, and measuring information
• Identify process inefficiencies, recommendation success rates, and systematic failures with key staff
• Adopt new processes and procedure changes
• Provide weekly updates to the department supervisor on assignments and provider outreach responses
• Perform initial assessment of claims files and data extractions to identify outreach cases
• Prepare and assist with patient and provider outreach for targeted programs
• Produce statistics on attempted outreach and inbound inquiries
• Protect member privacy and follow corporate privacy policies, procedures, Code of Conduct, and Lifetime Way values
• Maintain regular and reliable attendance
• Perform other functions assigned by management
• Level II: inform leadership of program successes, challenges, and barriers and recommend solutions
• Level II: suggest process improvements and participate in resolving complex issues
• Level II: mentor junior staff and assist with coaching
• Level II: manage weekly and monthly coordinator scheduling
• Level II: support procedural changes and improve payer/provider relations
• Level II: develop DLPs, speaking points, and educational tools
• Level II: lead training for new coordinators on program goals, policies, procedures, and platform navigation
• Level II: facilitate communication among coordinators, clinical pharmacists, and project management

Requirements

• High school education required
• Minimum of two years’ experience in a health-related field
• Pharmacy Technician certification (CPhT) strongly preferred
• Experience working in a doctor’s office, hospital, infusion center, pharmacy, or customer service strongly preferred
• Basic understanding of drug classes and therapeutic interchange
• Awareness of prescription and medical benefits as applied to utilization review and drug formularies desired but not required
• Current clinical knowledge necessary for high-quality outreach encounters and intervention reconciliation
• Strong written, verbal, and telephone communication skills
• High degree of professionalism and strong work ethic
• Ability to maintain a positive attitude with internal and external customers
• Ability to handle large amounts of information accurately via spreadsheet or database
• Strong customer service orientation
• Ability to interface effectively with internal and external customers
• Ability to work independently and apply problem‑solving and analytical abilities
• Level II: minimum 2–3 years’ experience working with a health plan organization
• Level II: basic understanding of medical terminology
• Level II: clear understanding of prescription and medical drug benefits and benefit design impacts
• Level II: proficiency with Excel, company platforms, and databases
• Level II: ability to navigate the healthcare system, including vendor and facility relationships
• Level II: ability to develop and refine techniques for responding to providers, pharmacies, and members
• Level II: ability to mentor and train less experienced staff
• Ability to travel across the Health Plan service region for meetings and/or trainings
• Ability to work in a home office for continuous periods
• Ability to work at a workstation using a computer, keyboard, mouse, and/or phone for three or more hours at a time
• Ability to hear, understand, and speak clearly while using a phone

Core Competencies

Demonstrates expertise in pharmacy program administration, including outreach, quality improvement, and financial analysis. Proficient in mentoring staff and implementing process improvements while maintaining high standards of customer service and communication.

Highest-signal resume keywords

• Pharmacy Technician Certification (CPhT)
• Experience in Health-Related Field
• Proficiency with Excel and Databases
• Strong Communication Skills
• Customer Service Orientation

ATS Optimization Keywords

Hard Skills

• Financial Analysis
• Quality Checks
• Data Extraction
• Process Improvement
• Therapeutic Interchange Understanding
• Medical Terminology
• Outreach Program Development
• Claims Assessment
• Statistical Reporting
• Problem‑Solving

Soft Skills

• Professionalism
• Positive Attitude
• Interpersonal Skills
• Mentoring
• Analytical Abilities

Certifications & Qualifications

• Pharmacy Technician Certification (CPhT)

Industry Keywords

• Health Plan Organization
• Prescription Benefits
• Utilization Review
• Drug Formularies
• Patient Outreach

Tools & Technologies

• Company Platforms
• Spreadsheets
• Databases
• Healthcare Systems