Medicaid Plan Pharmacy Director

Health Care Service Corp.; Chicago (IL); Híbrido; USD 121.000 - 225.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work model

In-office 3 days/week

Descripción de la vacante

Health Care Service Corporation seeks a senior pharmacy leader for a Medicaid health plan, accountable for strategy execution, regulatory compliance, and financial performance tied to quality withhold/penalty programs.

The role partners with enterprise clinical and pharmacy operations to ensure consistent strategy deployment across the plan while meeting state Medicaid requirements. Hybrid in-office/remote work is required.

Formación

• This role requires PharmD or equivalent experience with active state licensure.
• 7+ years of managed care pharmacy experience.
• Knowledge of medication use evaluation principles.
• Drug information skills are essential.
• Strong analytical and communication abilities.
• Ability to perform long periods of computer entry and multi-priority management.

Responsabilidades

• Lead pharmacy strategy execution within a Medicaid health plan.
• Ensure regulatory compliance and financial performance including quality withhold/penalty programs.
• Enhance member and provider experience and stakeholder engagement.
• Partner with enterprise clinical and pharmacy operations teams to deploy strategy.

Conocimientos

Analytical skills

Drug information skills

Verbal/Written communications

Educación

Doctor of Pharmacy (PharmD) or equivalent

Registered Pharmacist in the state

Herramientas

Microsoft Word

Microsoft Excel

Relational databases

Descripción del empleo

Job Summary

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 #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. Learn more about the benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. 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.

Base Pay Range $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.

We are a drug-free and smoke-free workplace.

Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.