Senior Medicaid Pharmacy Strategy Director (Hybrid)

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

Job summary

Health Care Service Corporation in Chicago, IL is seeking a senior pharmacy leader for a Medicaid health plan to drive pharmacy strategy and regulatory compliance across the plan. You will oversee financial performance, quality withhold/penalty programs, and member/provider experience while engaging stakeholders.

In this hybrid role, expect collaboration with enterprise clinical and pharmacy operations teams to deploy strategy and ensure state Medicaid requirements are met, with focus on

Qualifications

• PharmD or equivalent; licensed pharmacist in IL.
• 7+ years of experience in managed care pharmacy.
• Knowledge of medication use evaluation and drug information.

Responsibilities

• Lead pharmacy strategy execution and regulatory compliance for a Medicaid health plan.
• Oversee financial performance including quality withhold/penalty programs.
• Improve member and provider experience while engaging stakeholders.
• Collaborate with enterprise clinical and pharmacy operations teams to deploy strategy.

Skills

Analytical skills

Communication skills

Drug information skills

MUE principles

Managed care pharmacy

Education

PharmD

Pharmacist license

Tools

Word processing

Spreadsheet

Relational databases

Job description

Health Care Service Corporation in Chicago, IL is seeking a senior pharmacy leader for a Medicaid health plan to drive pharmacy strategy and regulatory compliance across the plan. You will oversee financial performance, quality withhold/penalty programs, and member/provider experience while engaging stakeholders.

In this hybrid role, expect collaboration with enterprise clinical and pharmacy operations teams to deploy strategy and ensure state Medicaid requirements are met, with focus on