Clinical Accountt Consultant Pharmacy Medicare Formulary Strategy

Health Care Service Corp.; Chicago (IL); Ibrido; USD 102.000 - 184.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health benefits

401(k)

Pension plan

Paid time off

Paid parental leave

Disability insurance

Life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Descrizione del lavoro

Health Care Service Corp. seeks a Clinical Acct Consult Pharmacy - Medicare Formulary Strategy expert to lead development and execution of formulary strategy under CMS Part D regulations. Ensure plans meet regulatory requirements and corporate goals.

Role emphasizes data-driven analyses, presentations to external leaders, and cross-functional collaboration to resolve issues and implement optimal formulary decisions. Office-based with hybrid schedule in Chicago area.

Competenze

• Registered Pharmacist required to practice in the relevant state
• 4 years of managed care pharmacy experience or 4 years of consulting experience in the PBM industry
• 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 for presentations to external leaders or large audiences
• Cross-functional collaboration across the organization for problem resolution and decision-making
• Relationship building to develop strong customer connections
• Project management experience
• Experience with Microsoft Office applications (Word, Excel, PowerPoint) and clinical/business databases

Conoscenze

Analytical skills

Written and verbal communications

Presentation skills

Project management

Collaboration

Relationship building

Data reporting

Microsoft Office

Formazione

Pharmacist license

Pharm.D. preferred

Strumenti

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Pharmacy claims systems

Clinical databases

Descrizione del lavoro

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

The Clinical Acct Consult 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

Benefits

• 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

Compensation

Base Pay Range $102,000.00 - $184,300.00. Exact compensation may vary based on skills, experience, and location. 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.

Work Arrangement

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.

Equal Opportunity 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.

Accommodation for Applicants

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.

Company Culture

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions.