at Health Care Service Corporation in Downers Grove, 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
**THIS IS A FLEX ROLE FOR THE HCSC OFFICES IN TX, NM AND IL**
This position is responsible for directing the development, maintenance and on-going oversight for clinical and operational programs and processes for G&IM (Government and Individual Market) Pharmacy of Individual Family Market. This includes but is not limited to CMS and State reporting activity, programs for prescribers and network of pharmacies, pharmacy cost and utilization trends monitoring, clinical programs with emphasis on formulary, disease management and clinical outcomes, developing and maintaining reimbursement methodologies for pharmaceuticals, oversight of contracted Pharmaceutical Benefit Managers (PBM), and for the overall effectiveness of the pharmacy operations and programs. Additionally, this position requires collaboration 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.
JOB REQUIREMENTS:
* Registered Pharmacist in the state of New Mexico, Texas or Illinois.
* 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.
PREFERRED JOB REQUIREMENTS:
*Knowledge of Health Plans and PBM Operations
* Experience developing and implementing system tools.
#LI-Hybrid
Relocation assistance will not be provided for this position.
Sponsorship will not be provided for this position.
We encourage people of all backgrounds and experiences to apply.Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.
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.
