Medicaid Pharmacy Director: Strategy & Compliance

HCSC Group; Chicago (IL); Hybrid; USD 121,000 - 225,000; Full time

Job summary

Health Care Service Corporation in Illinois is seeking a Senior Pharmacy Leader to drive pharmacy strategy execution and regulatory compliance within a Medicaid health plan. You will oversee financial performance, quality withhold/penalty programs, and stakeholder engagement, partnering with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment across the plan.

This hybrid role requires a PharmD or equivalent, active pharmacist license in Illinois, and 7+

Qualifications

• 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.

Responsibilities

• Lead pharmacy strategy and regulatory compliance for the Medicaid health plan.
• Collaborate with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment across the plan.

Skills

Pharmacist license

PharmD degree

Managed care

MUE principles

Drug information

Analytical skills

Regulatory knowledge

Communication skills

Data entry

Database proficiency

Windows/MS Office

Education

PharmD or equivalent

Tools

MS Office

Relational databases

Job description

Health Care Service Corporation in Illinois is seeking a Senior Pharmacy Leader to drive pharmacy strategy execution and regulatory compliance within a Medicaid health plan. You will oversee financial performance, quality withhold/penalty programs, and stakeholder engagement, partnering with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment across the plan.

This hybrid role requires a PharmD or equivalent, active pharmacist license in Illinois, and 7+