We are seeking a Member Care Coordinator to join a healthcare team supporting members with medication adherence and refill outreach. This is a high-volume outbound calling position ideal for Pharmacy Technicians and other healthcare professionals who are comfortable communicating with members, pharmacies, and healthcare providers.
The majority of the work involves contacting members who are overdue or late refilling medications and helping encourage timely medication adherence.
This is a fast-paced, productivity-focused role. Candidates should be comfortable making outbound calls essentially back-to-back throughout the workday.
Make outbound calls to health plan members regarding medication refills and adherence.
Contact members who are late or overdue on medication refills.
Conduct approximately 8.5-10 calls per hour, with a goal of 10 calls per hour.
Complete a minimum of approximately 6 member calls per hour, excluding pharmacy and prescriber calls.
Make approximately 300-400 calls per week.
Return voicemails, missed calls, and member callbacks.
Communicate with pharmacies and healthcare providers as needed.
Document member outreach, conversations, and outcomes accurately.
Utilize healthcare terminology and medication knowledge during member interactions.
Identify and resolve routine issues using critical thinking and problem-solving skills.
Work independently while maintaining productivity and quality expectations.
Protect confidential member information and follow applicable healthcare privacy and compliance requirements.
Previous experience in pharmacy, healthcare, or a related field.
Strong verbal communication and customer service skills.
Comfortable making a high volume of outbound calls.
Ability to work independently in a remote environment.
Strong critical thinking and problem-solving abilities.
Comfortable working with medication names and healthcare terminology.
Strong computer skills and ability to learn new software.
Reliable high-speed internet.
Must have a computer capable of downloading and running required client software.
Pharmacy Technician certification or licensure is not required.
Candidates with experience in the following areas are encouraged to apply:
Pharmacy Technician
Retail Pharmacy
Long-Term Care (LTC) Pharmacy
Medication Therapy Management (MTM)
Prior Authorization
Medical Assistant (CMA)
Healthcare Call Center
Medication Adherence
Pharmacy Order Entry
High-volume inbound/outbound calling
Pharmacy Technicians with high-volume call experience are especially encouraged to apply.
Medical Assistants with healthcare experience and strong phone skills may also be considered.
Bilingual candidates are a plus, with Vietnamese-speaking candidates especially encouraged to apply due to ongoing business needs.
Monday-Friday, 8:30 AM-5:30 PM based on the time zone of the health plan being supported.
Most assignments are expected to operate on Eastern Time, and candidates must be flexible and willing to work EST hours.
Candidates should understand that this is a high-volume outbound call position:
Approximately 95% outbound calls
Approximately 5% returned calls/voicemails
Goal of 10 calls per hour
Minimum expectation of 8.5 calls per hour
Minimum of approximately 6 member calls per hour
Approximately 300-400 calls per week
This role is best suited for someone who enjoys a fast-paced environment and can remain focused and productive while making frequent calls throughout the day.
This is a fully remote position. Candidates are re