🚀 Dir Ent Pharmacy Govt Programs

Overview

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for directing the Medicaid pharmacy operations team and responsible for analyzing and optimizing the operational metrics, productivity and program requirements. Direct and manage the ongoing assessment and program maintenance updates for the Medicaid pharmacy operations program. In addition, assess, direct and manage to the compliance of the program requirements as required by the applicable state Medicaid or Medicare requirements. Manage the preparation and readiness for on-going audits. Represent the department to internal and external areas including government agencies and audit vendors. Lead enterprise Medicaid operational and clinical programs.

Responsibilities

• Direct and manage the ongoing assessment and program maintenance updates for the Medicaid pharmacy operations program.
• Assess, direct and manage compliance of the program requirements as required by applicable state Medicaid or Medicare requirements.
• Manage the preparation and readiness for ongoing audits.
• Represent the department to internal and external areas including government agencies and audit vendors.
• Lead enterprise Medicaid operational and clinical programs.

Qualifications

Required:

• Registered Pharmacist with current, valid license in the state of operations.
• 4 years of experience in pharmacy.
• Strong leadership skills including working through others and training skills.
• Analytical skills including translating business needs into technical requirements.
• Verbal and written communication skills including interpersonal skills to direct team, work across internal departments and represent the company to external agencies.
• Negotiation and problem-solving skills.
• Overseeing the annual budget and allocating resources for various projects and operational needs.
• Translating needs and initiatives into compelling business cases.
• Conducting cost-benefit analyses to justify investments and ensure ROI.

Preferred:

• Knowledge of Medicaid and/or Medicare health plan and PBM operations.
• Additional degrees or credentials outside the pharmacy area (such as an MBA).
• 3 years of supervisory or management experience in a Pharmacy environment including managing a budget.

Pay and Benefits

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

EEO Statement

HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range: $118,800.00 - $220,800.00

Exact compensation may vary based on skills, experience, and location.