Medicaid Plan Pharmacy Director

Pharmacy; Richardson (TX); Hybrid; USD 121,000 - 225,000; Full time

Job summary

HCSC seeks a senior pharmacy leader for a Medicaid health plan, responsible for executing pharmacy strategy, ensuring regulatory compliance, and maintaining financial performance with quality programs.

The role collaborates with enterprise clinical and pharmacy operations to deploy strategy across the plan while meeting state Medicaid requirements. It is a hybrid role with in-office and remote days, and compensation is set within a broad range to reflect experience.

Qualifications

• PharmD or equivalent experience.
• Licensed pharmacist in the state (Texas).
• 7+ years of managed care pharmacy experience.
• Knowledge of medication use evaluation (MUE) principles.
• Drug information skills.
• Strong analytical abilities.
• Experience with word processing, spreadsheets and relational databases.
• Excellent verbal and written communication skills.
• Ability to perform long computer entry sessions.
• Ability to manage multiple priorities and communicate professionally to resolve issues.

Responsibilities

• Lead pharmacy strategy execution for the Medicaid health plan.
• Ensure regulatory compliance and manage quality withhold/penalty programs.
• Oversee financial performance and stakeholder engagement.
• Improve member and provider experience within the plan.
• Partner with enterprise clinical and pharmacy operations to deploy consistent strategy.

Skills

Analytical skills

Verbal & written communication

Multitasking

Drug information skills

MUE knowledge

Window-based MS Word/Excel

Problem solving

Stakeholder communication

Computer entry proficiency

Education

Doctor of Pharmacy (PharmD)

Texas Pharmacist License

Tools

MS Word

MS Excel

Relational databases

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.