Clinical Pharmacy Manager

hcsc; United States; Hybrid; USD 102,000 - 184,000; Full time

Benefits offered by this job

Hybrid work model

Competitive pay

Job summary

Health Care Service Corporation (HCSC) seeks a licensed pharmacist to lead the development, maintenance and oversight of enterprise Pharmacy Government Programs, including Medicare and Medicaid initiatives and related quality measures.

The role requires strong analytical, drug information and communication skills, plus experience with formulary review, pharmacoeconomics and MTM workflows. A hybrid schedule with 3 days in the office and 2 remote days is offered.

Qualifications

• Licensed pharmacist in the state.
• Experience with pharmacy practice guidelines or practice parameters.
• Knowledge of medication use evaluation principles.
• Drug information skills.
• Strong analytical and communication skills.
• Experience with Windows-based word processing, spreadsheets and relational databases.
• Ability to manage multiple priorities and professional communications.

Responsibilities

• Direct development, maintenance and oversight for enterprise Pharmacy Government Programs.
• Oversee CMS Stars and Medicaid Quality Withhold programs and related operational and reporting activities.
• Collaborate with management and external providers to improve quality of care and manage costs.
• Develop and maintain reimbursement methodologies for pharmaceuticals; oversee PBM relationships.

Skills

Analytical skills

Drug information skills

Pharmacy practice guidelines

Medicare/Medicaid knowledge

Verbal and written communications

Multitasking & prioritization

MTM program experience

Education

Pharmacist license

Tools

Word processing software

Spreadsheet software (Excel)

Relational databases

PowerPoint

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 Is Responsible For Directing The Development, Maintenance And On-Going Oversight For Clinical And Operational Programs And Processes For Enterprise Pharmacy Government Programs Of Medicare And Medicaid. This Includes But Is Not Limited To Cms Stars And Medicaid Quality Withhold Programs, Medicare And Medicaid Operational And Reporting Activity, Programs For Prescribers And Network Of Pharmacies, Pharmacy Cost And Utilization Trends Monitoring, Clinical Programs With Emphasis On Disease Management And Clinical Outcomes, Developing And Maintaining Reimbursement Methodologies For Pharmaceuticals, Oversight Of Contracted Pharmaceutical Benefit Managers (Pbm), And For The Overall Effectiveness Of The Government Pharmacy Operations And Programs. Additionally, This Position Requires Collaboration With Management And Professional Staff Within Hcsc And With External Health Care Providers To Improve Quality Of Healthcare, Optimize Health Outcomes And Improve The Cost Of Care.

JOB REQUIREMENTS:

• Registered Pharmacist in the state.
• Corporate Pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, pharmacoeconomics; or pharmacy quality improvement processes/techniques.
• 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:

• MTM program experience or completion of MTM/Pharmaceutical Care Training.
• Experience developing and implementing system tools.
• Experience with Microsoft excel and PowerPoint.
• Experience with Medicare Star measures.

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

#LI-AC1

#LI-Hybrid

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.

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.

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.

Base Pay Range

$102,000.00 - $184,300.00

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