Clinical Pharmacy Manager

Health Care Service Corporation

Clinical Pharmacy Manager responsible for directing clinical and operational pharmacy programs for Medicare and Medicaid. Collaborating with internal and external teams to improve healthcare quality and outcomes.

Posted 6/7/2026full-timeChicago • Illinois, New Mexico, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $102,000 - $184,300 per yearWebsite

About the role

Key responsibilities & impact

Directing the development, maintenance and on-going oversight for clinical and operational programs and processes for Enterprise Pharmacy Government Programs of Medicare and Medicaid.
Includes overseeing CMS Stars and Medicaid Quality Withhold Programs, Medicare and Medicaid operational and reporting activity.
Monitoring pharmacy cost and utilization trends.
Developing and maintaining reimbursement methodologies for pharmaceuticals.
Oversight of contracted pharmaceutical benefit managers (PBM).
Collaborating with management and professional staff within HCSC and with external health care providers to improve quality of healthcare, optimize health outcomes, and improve the cost of care.

Requirements

What you’ll need

Registered Pharmacist in the state.
Corporate Pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, pharmacoeconomics; or pharmacy quality improvement processes/techniques.
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.

Benefits

Comp & perks

Health insurance
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy practice guidelinesformulary programspharmacoeconomicspharmacy quality improvement processesmedication use evaluation principlesdrug information skillsreimbursement methodologiesCMS StarsMedicaid Quality Withhold Programspharmacy cost and utilization trends

Soft Skills

analytical skillsverbal communication skillswritten communication skillsability to handle multiple prioritiesprofessional communicationissue resolution skills

Certifications

Registered Pharmacist