Pharmacy Programs Manager

HCSC Group; Nashville (TN); Hybrid; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation is seeking a Pharmacy Programs Manager to provide comprehensive oversight of pharmacy networks and manage day-to-day PBM operations. This remote role supports Medicare plans across the nation, requiring strong project management, communication skills, and attention to pricing accuracy.

The position emphasizes compliance with Medicare/Medicaid regulations and collaboration with PBMs, mail order, and customer service teams to ensure high-quality service.

Qualifications

• Experience with pharmacy networks and/or health plans.
• Project management experience.
• Strong verbal and written communication skills.
• Flexible and able to perform under pressure.
• Proficient in Word, Excel, and database tools.

Responsibilities

• Provide comprehensive pharmacy network oversight and manage day-to-day operations with external PBMs.
• Monitor network pricing setup accuracy and maintain strict operational quality standards.
• Drive PBM vendor performance and oversee mail order and customer service functions.
• Ensure compliance with Medicare, Medicaid, and enterprise regulatory standards.

Skills

Pharmacy networks

Health plan experience

Project management

Verbal and written communication

Under pressure

PC proficiency (Word, Excel, databases

Job description

## Pharmacy Programs ManagerApply: Remote: National Remote: Full time: Posted Today: End Date: October 4, 2026 (4 days left to apply): R0055784At 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.# # **Job Summary**### Provides comprehensive pharmacy network oversight and manages day-to-day operations with external pharmacy benefit managers across all Medicare plans. Continuously monitors network pharmacies to ensure pricing setup accuracy and maintain strict operational quality standards. Drives PBM vendor performance and operational integrity through claims research, rigorous testing of benefit design implementations, and direct oversight of PBM mail order and customer service functions. Ensures strict compliance with all Medicare, Medicaid, and enterprise regulatory standards.### Job Requirements:* Previous experience with pharmacy networks and/or health plans* Project management experience.* Verbal and written communication skills.* Flexible and ability to perform under pressure.* PC proficiency including Word and Excel and database experience. This role is Remote in Nashville and requires working in East Coast Time Zone #LI-Remote#LI-AC1### **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**### **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 our 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.This position may be performed remotely from anywhere within the continental United States, **excluding California, New York, Alaska, and Hawaii**.## 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.# # **Base Pay Range**$92,700.00 - $167,500.00