Medicaid Plan Pharmacy Director

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

Benefits offered by this job

Hybrid work model

Job summary

HCSC is seeking a Senior Pharmacy Leader for a Medicaid health plan. The role drives pharmacy strategy, regulatory compliance, and financial performance within a matrixed enterprise.

Requires PharmD or equivalent and pharmacist licensure with 7+ years in managed care pharmacy. Hybrid work arrangement; 3 days in office, 2 days remote.

Qualifications

• PharmD or equivalent and active pharmacist license required.
• 7+ years in managed care/pharmacy.
• Strong knowledge of medication use evaluation principles.
• Excellent written and verbal communication skills.

Responsibilities

• Lead pharmacy strategy execution within a Medicaid health plan.
• Ensure regulatory compliance and financial performance, including quality withhold programs.
• Collaborate with enterprise clinical and pharmacy operations teams to deploy strategy.
• Engage stakeholders to meet state Medicaid requirements.

Skills

Analytical skills

Drug information skills

Verbal and written communications

Window-based software experience

Multitasking and issue resolution

Education

Doctor of Pharmacy (PharmD) or equivalent

Registered Pharmacist in the state

Tools

Relational database software

Microsoft Word

Microsoft Excel

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.

This position serves as the senior pharmacy leader at an individual Medicaid health plan. They are accountable for pharmacy strategy execution, regulatory compliance, financial performance including quality withhold/penalty programs, member and provider experience and stakeholder engagement within the plan. This role operates within a matrixed enterprise model, partnering closely with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment while meeting state-specific Medicaid requirements.

JOB REQUIREMENTS

• 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.

PREFERRED JOB REQUIREMENTS

• Experience in the managed Medicaid space.
• Strong financial and analytical acumen.

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

Compensation: $121,200.00 - $225,200.00

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.