Medicaid Pharmacy Strategy Director

HCSC Group; Nebraska; Hybrid; USD 121,000 - 225,000; Full time

Job summary

Health Care Service Corporation (HCSC) in Nebraska seeks a senior pharmacy leader for a Medicaid health plan. You will shape pharmacy strategy, ensure regulatory compliance, and drive financial performance while safeguarding member and provider experience.

This role operates in a matrixed enterprise, partnering with enterprise clinical and pharmacy operations teams to deploy strategy across states and meet state Medicaid requirements.

This is a hybrid role with 3 days in office and 2 remote.

Qualifications

• PharmD or equivalent; licensed pharmacist in state.
• 7+ years in managed care pharmacy.
• Knowledge of medication use evaluation principles.
• Strong drug information and analytical skills.
• Proficient in MS Word/Excel and relational databases.
• Excellent verbal and written communication.
• Ability to manage multiple priorities and customer communications.

Responsibilities

• Lead pharmacy strategy execution and regulatory compliance.
• Oversee financial performance including quality withhold/penalty programs.
• Enhance member and provider experience and stakeholder engagement.
• Partner with enterprise clinical and pharmacy operations teams.
• Ensure Medicaid requirements across states are met.

Skills

PharmD / Pharmacist

Managed care pharmacy

Medication use evaluation

Drug information

Analytical skills

MS Word / MS Excel

Verbal & written communication

Multitasking / prioritization

Education

PharmD or equivalent

Tools

MS Word

MS Excel

Relational databases

Job description

Health Care Service Corporation (HCSC) in Nebraska seeks a senior pharmacy leader for a Medicaid health plan. You will shape pharmacy strategy, ensure regulatory compliance, and drive financial performance while safeguarding member and provider experience.

This role operates in a matrixed enterprise, partnering with enterprise clinical and pharmacy operations teams to deploy strategy across states and meet state Medicaid requirements.

This is a hybrid role with 3 days in office and 2 remote.