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Clinical Pharmacy Manager at Health Care Service Corporation - ApplyBlast

Clinical Pharmacy Manager

Health Care Service Corporation

4 months ago

3.8 on Glassdoor

Chicago, IL

Hybrid

Full Time

Senior

0 applicants

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About this role

This role directs the development and oversight of clinical and operational programs for enterprise pharmacy government initiatives within HCSC, specifically focusing on Medicare and Medicaid operations. Key duties include managing CMS Stars and Quality Withhold programs, monitoring pharmacy costs, overseeing Contracted Pharmacy Benefit Managers, and collaborating with healthcare providers to optimize health outcomes.

Responsibilities

Direct development and oversight of enterprise pharmacy government programs
Manage CMS Stars and Medicaid Quality Withhold operational activities
Monitor pharmacy cost and utilization trends for strategic decision-making
Oversee contracted Pharmaceutical Benefit Managers and reimbursement methodologies
Collaborate with external providers to improve healthcare quality and outcomes

Skills

Qualifications

Registered PharmacistBachelor's Degree in PharmacyMaster of Science in Pharmacy

About Health Care Service Corporation

hcsc.com

Headquarters

Chicago, Illinois, United States

Company Size

10001+ employees

Founded

1936

View Profile

Health Care Service Corporation (HCSC) is a mutual legal reserve company and trusted partner in health, offering health insurance plans across Illinois, Montana, New Mexico, Oklahoma, and Texas. With nearly a century of experience, HCSC serves over 27 million people through a portfolio of health benefit solutions designed to deliver access to quality, cost-effective care. The company drives innovations to improve health outcomes and reduce costs for its members, employees, and communities.