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Clinical Pharmacist - Utilization Management

at Health Care Service Corporation in Chicago, Illinois, United States

Job Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
Located in either Chicago, IL or Richardson, TX - This position is responsible for performing activities associated with the administration and maintenance of our Utilization Management programs including but not limited to assisting in the development, implementation and maintenance of prior authorization and specialty pharmacy programs. Additionally, this position will be responsible for PBM oversight, formulary alignment, client relationships and support; and development of innovative clinical programs.

JOB REQUIREMENTS:
* Registered Pharmacist in the United States.
* 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 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

PREFERRED JOB REQUIREMENTS:
* Doctor of Pharmacy (PharmD) and additional advanced degree (MBA, M.S.).
* 3 years of experience with Managed care and/or Pharmacy Benefit Management (PBM) experience.
* Additional certifications and residency experience.
* Specialty Pharmacy, Clinical Programs, Utilization Management, Formulary experience.

We offer a flexible work arrangement to include 3 days working in our Chicago or Richardson office(s) and 2 days working form home.

Relocation is not available at this time.
Sponsorship is not provided.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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Job Posting: 10976900

Posted On: Jun 01, 2023

Updated On: Jun 09, 2023

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