Clinical Pharmacist – Managed Care

Health Care Service Corporation

Clinical Pharmacist responsible for optimizing drug therapy for health plans in the U.S. Engaging with multi-disciplinary teams to improve health outcomes across medical and pharmacy benefits.

Posted 8/1/2026full-timeAlbuquerque • Illinois, Montana, New Mexico, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $102,000 - $184,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical reviews and drug therapy optimization, with a strong foundation in pharmacy program management and data analysis. Proficient in communication and collaboration within multi-disciplinary teams to enhance health outcomes for plan members.

Highest-signal resume keywords

Registered PharmacistClinical ReviewPharmacy Program ManagementDrug Information SkillsData Analysis

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ManagementFormulary ManagementMedication Therapy ManagementMedication Use EvaluationPharmacoeconomics

Soft Skills

Verbal CommunicationWritten CommunicationIssue ResolutionProfessionalismMulti-Priority Management

Tools & Technologies

Word Processing SoftwareSpreadsheet SoftwareRelational Database Software

Certifications & Qualifications

Registered Pharmacist in NMRegistered Pharmacist in ILRegistered Pharmacist in TXRegistered Pharmacist in MT

Industry Keywords

Health PlanPharmacy BenefitQuality Improvement ProcessesClinical ProgramsClient Relationships

About the role

Key responsibilities & impact

Conducting clinical reviews to optimize drug therapy for health plan members across medical and pharmacy benefit channels.
Utilize sound knowledge of member and/or client benefit design to inform drug therapy recommendations at an individual or population level.
Administration and management of pharmacy programs including applying knowledge of utilization/formulary management programs, specialty pharmacy management, medication therapy management, data analysis, client relationships/support, and development of innovative clinical programs.
Work directly with a multi-disciplinary team to advise plan members and providers in an effort to improve health outcomes.

Requirements

What you’ll need

Registered Pharmacist in the States of operation (NM, IL, TX, MT).
Experience using window-based word processing, spreadsheet and relational database software.
Drug information skills.
Strong Verbal and written communication skills.
Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.
Knowledge of medication use evaluation principles.
Ability to remain at a workstation 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 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
Other incentives