At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
(Healthspring)The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.
*BILINGUAL PROFICIENCY IN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*.
JOB REQUIREMENTS (MTM):
Active and unrestricted Pharmacist license in the State of residence required
Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice
Minimum 3 years’ experience in Managed Care, Medicare and/orMedicaid settingspreferred
Experience with Medication Therapy Management (MTM) programs strongly preferred
Familiarity with MTM platforms (ex: Adhere Health’s Optimize or similar applications) preferred
Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences
Bilingualproficiencyin English and Spanish
Advancedproficiencyin Microsoft Office applications including Word, Excel, PowerPoint, and Outlook
Strong computer literacy with the ability to navigate systems and applications simultaneously
Strong learning agility and ability to apply new concepts and tools
Strong analytical thinking, problemsolvingand clinical decision-making skills
Ability to develop innovative solutions to complex healthcare challenges
PREFERRED JOB REQUIREMENTS:
*Strong experience with MTM required
*BILINGUAL PROFICIENCY IN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*
*Must be willing to work Phone Queue
*Must be clinically strong with experience in diverse programs (MTM, Case Referrals, Narcotics)
*Residency and/or Board Certification preferred
#LI-FW1
#LI-Remote
This is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist license in the State of residence.
Sponsorship is not available
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Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
$102,000.00 - $184,300.00
Exact compensation may vary based on skills, experience, and location.
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association.
For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs.
Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry.
As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible.
Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.
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