Health Care Service Corporation

Medicaid Plan Pharmacy Director

Health Care Service Corporation  •  $121k - $225k/yr  •  United States (Hybrid)  •  2 hours ago
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Job Description

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.

Job Summary

This position serves as the senior pharmacy leader at an individual Medicaid health plan. They are accountable for pharmacy strategy execution, regulatory compliance, financial performance including quality withhold/penalty programs, member and provider experience and stakeholder engagement within the plan. This role operates within a matrixed enterprise model, partnering closely with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment while meeting state-specific Medicaid requirements.

JOB REQUIREMENTS:

  • Doctor of Pharmacy (PharmD) or equivalent experience.
  • Registered Pharmacist in the state.
  • 7+ years experience in managed care pharmacy.
  • Knowledge of medication use evaluation principles.
  • Drug information skills.
  • Analytical skills.
  • Experience using window based word processing, spreadsheet and relational database software.
  • Verbal and written communications skills.
  • Ability to remain at a work station and perform computer entry for long periods of time, as required.
  • Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.

PREFERRED JOB REQUIREMENTS:

  • Experience in the managed Medicaid space.
  • Strong financial and analytical acumen.

This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

HCSC Employment Statement

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.

Health Care Service Corporation

About Health Care Service Corporation

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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Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Chicago, IL
Year Founded
Unknown
Website
hcsc.com
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