Senior Clinical Pharmacy Lead - Government Programs

HCSC; Tulsa (OK); Hybrid; USD 102,000 - 184,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a Senior Pharmacist to direct development and oversight of enterprise government pharmacy programs, including Medicare and Medicaid, CMS Stars, and related reimbursement methodologies.

The role requires an active pharmacist license, strong analytics, and experience with PBMs, with a focus on improving outcomes while controlling costs across a national network.

Qualifications

• Registered Pharmacist in the state.
• Experience with pharmacy practice guidelines, pharmacoeconomics or PBM oversight.
• Knowledge of medication use evaluation principles.
• Drug information skills.
• Analytical skills.
• Experience with Windows-based word processing, spreadsheets and relational databases.
• Verbal and written communications skills.
• Ability to manage multiple priorities and professional communications.

Responsibilities

• Direct development, maintenance and oversight for enterprise pharmacy government programs (Medicare/Medicaid).
• Oversee CMS Stars and Medicaid quality withhold programs and related operations.
• Monitor reimbursement methodologies and pharmaceutical cost/utilization trends.
• Collaborate with management and external providers to improve quality and cost outcomes.
• Oversee contracted PBMs and overall government pharmacy operations.

Skills

Analytical skills

Drug information skills

Verbal communications

Written communications

Multi-tasking

MS Office

Education

Registered Pharmacist license (state)

Tools

MS Word

MS Excel

Relational databases

Job description

Health Care Service Corporation (HCSC) seeks a Senior Pharmacist to direct development and oversight of enterprise government pharmacy programs, including Medicare and Medicaid, CMS Stars, and related reimbursement methodologies.

The role requires an active pharmacist license, strong analytics, and experience with PBMs, with a focus on improving outcomes while controlling costs across a national network.