Clinical Account Consultant - Pharmacy Medicare Formulary Strategy

Pharmacy; Chicago (IL); Hybrid; USD 102,000 - 184,000; Full time

Job summary

HCSC seeks a Clinical Account Consultant Pharmacy - Medicare Formulary Strategy to lead development and execution of Medicare Part D formulary strategies in line with CMS requirements. The role emphasizes analysis, reporting, and cross-functional collaboration to support health plan goals.

The position is a flex (hybrid) role: 3 days in office, 2 days remote, with compensation ranging from $102,000 to $184,300 per year, depending on experience and location.

Qualifications

• Registered Pharmacist required.
• 4 years of managed care pharmacy experience or 4 years of consulting experience in the pharmacy benefits industry.

Responsibilities

• Develop and execute Medicare Part D formulary strategy in accordance with CMS regulations.
• Collaborate across the organization to resolve problems and negotiate outcomes.
• Present recommendations to external leaders or large audiences.
• Build and maintain strong customer relationships.
• Manage projects and coordinate with stakeholders.

Skills

Analytics & reporting

Presentation skills

Collaboration

Relationship building

Project management

Microsoft Office

Education

Pharm.D. preferred

Pharmacy residency

Tools

Pharmacy claims systems

Microsoft Office

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.

The Clinical Account Consultant Pharmacy - Medicare Formulary Strategy role is responsible for multiple aspects of the development and execution of Medicare Part D formulary strategy in accordance with CMS 42 C.F.R. §423.100, 120 Prescription Drug Benefit Manual Chapter 6- "Part D Drugs and Formulary Requirements" to ensure the health plan's formularies meet regulatory requirements and HCSC goals.

Required Job Qualifications

• Registered Pharmacist
• 4 years of managed care pharmacy experience or 4 years of consulting experience in the pharmacy benefits industry (completion of managed care residency can substitute for 4 years of managed care pharmacy experience requirements)
• Knowledge of pharmacy benefits products, services and concepts
• Analytical skills including developing reports and synthesizing data to tell a story and develop recommendations
• Written and verbal communications skills including developing presentations and presenting to external business leaders or large audiences
• Collaboration skills to work across organization on problem resolution, negotiation, consensus building, conflict management, and decision-making skills
• Relationship building skills to build strong customer relationships
• Project management skills and experience
• Experience with Microsoft Office applications (Word, Excel, PowerPoint) and clinical/business databases

Preferred Job Qualifications

• Pharm.D. preferred
• Managed care pharmacy residency
• 2 or more years of Medicare Part D experience
• Knowledge of Medicare Part D regulatory requirements
• Knowledge of computer applications, including pharmacy claims systems
• Proficiency in Microsoft platform functionality (e.g., Word, PowerPoint, Excel)
• Understanding of formulary development and/or maintenance
• Formulary development and strategy experience
• Technical writing or policy development experience

This is a Flex (Hybrid) role: 3 days in office; 2 days work from home

Compensation: $102,000.00 - $184,300.00

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

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards