Health Care Service Corporation

Medicaid Plan Pharmacy Director

Health Care Service Corporation • $121K — $225K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Doctor of Pharmacy (PharmD) or equivalent experience needed.
  • Registered Pharmacist in the state required.
  • Minimum 7 years in managed care pharmacy experience.
  • Strong understanding of medication use evaluation principles.
  • Proficient in drug information and analytical skills.
  • Experience with word processing, spreadsheets, and relational databases.
  • Excellent verbal and written communication skills.

Responsibilities

  • Lead the execution of pharmacy strategy within the Medicaid health plan.
  • Ensure regulatory compliance with state Medicaid requirements.
  • Manage financial performance, focusing on quality and penalties.
  • Enhance member and provider experience through effective engagement strategies.
  • Collaborate with enterprise clinical and pharmacy operations for cohesive strategy implementation.
  • Handle multiple priorities and resolve issues effectively with stakeholders.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) and pension plans for financial security.
  • Paid time off and parental leave to support work-life balance.
  • Disability and life insurance for employee peace of mind.
  • Employee assistance program for personal support.
  • Tuition reimbursement and other incentives for professional development.
Full Job Description
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 #LI-AC1 #LI-Hybrid 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 . 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. Base Pay Range $121,200.00 - $225,200.00 Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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