Member Care Coordinator
Job Description
Position Overview
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.
Key Responsibilities
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.
Qualifications
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.
Ideal Candidate Background
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 Skills
Bilingual candidates are a plus, with Vietnamese-speaking candidates especially encouraged to apply due to ongoing business needs.
Schedule
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.
High-Volume Call Environment
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.
Remote Work Requirements
This is a fully remote position. Candidates are responsible for providing their own equipment.
Required:
Computer capable of downloading required client software
Reliable high-speed internet
Ability to work independently from a home environment
A headset and additional monitor are recommended but not required.
Candidates will be required to complete an internet speed test as part of the hiring process.
Training
Training is straightforward and based on prior experience:
Approximately 3 days for candidates with relevant pharmacy/healthcare experience
Approximately 1-1.5 weeks for candidates without direct experience
What We're Looking For
The successful candidate will be:
Comfortable with high-volume outbound calls
Self-motivated and dependable
Able to work independently without constant supervision
Strong in critical thinking and problem-solving
Comfortable working in a fast-paced, productivity-driven environment
Familiar with healthcare terminology and medications
Professional and confident on the phone
Able to maintain productivity while working remotely
If you have Pharmacy Technician, healthcare call center, medication adherence, or other high-volume outbound calling experience, we encourage you to apply!
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?
