Clinical Account Consultant, Pharmacy Medicare Formulary Strategy

Health Care Service Corporation

. Develop and execute Medicare Part D formulary strategy .

Posted 10/5/2026full-timeUnited 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 Medicare Part D formulary strategy development and execution, ensuring compliance with CMS regulatory requirements. Strong analytical, project management, and communication skills are essential for synthesizing data and building relationships across the organization.

Highest-signal resume keywords

Registered PharmacistManaged Care Pharmacy ExperienceAnalytical SkillsProject Management SkillsMedicare Part D Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Formulary DevelopmentData SynthesisTechnical WritingPolicy DevelopmentPharmacy Benefits Knowledge

Soft Skills

Collaboration SkillsRelationship-Building SkillsNegotiation SkillsConflict Management SkillsDecision-Making Skills

Tools & Technologies

Microsoft Office ApplicationsClinical DatabasesBusiness DatabasesPharmacy Claims Systems

Certifications & Qualifications

Pharm.D.Managed Care Residency

Industry Keywords

Medicare Part DCMS Regulatory RequirementsFormulary StrategyManaged Care Pharmacy

About the role

Key responsibilities & impact

Develop and execute Medicare Part D formulary strategy
Ensure health plan formularies meet CMS regulatory requirements and HCSC goals
Work across multiple aspects of formulary development and execution
Develop reports and synthesize data into recommendations
Develop presentations and present to external business leaders or large audiences
Collaborate across the organization on problem resolution, negotiation, consensus building, conflict management, and decision-making
Build strong customer relationships
Manage projects

Requirements

What you’ll need

Registered Pharmacist
4 years of managed care pharmacy experience or 4 years of consulting experience in the pharmacy benefits industry
Completion of managed care residency can substitute for 4 years of managed care pharmacy experience
Knowledge of pharmacy benefits products, services and concepts
Analytical skills, including developing reports, synthesizing data, telling a story, and developing recommendations
Written and verbal communication skills, including developing presentations and presenting to external business leaders or large audiences
Collaboration skills for problem resolution, negotiation, consensus building, conflict management, and decision-making
Relationship-building skills
Project management skills and experience
Experience with Microsoft Office applications (Word, Excel, PowerPoint) and clinical/business databases
Pharm.D. preferred
Managed care pharmacy residency preferred
2 or more years of Medicare Part D experience preferred
Knowledge of Medicare Part D regulatory requirements preferred
Knowledge of computer applications, including pharmacy claims systems, preferred
Proficiency in Microsoft platform functionality preferred
Understanding of formulary development and/or maintenance preferred
Formulary development and strategy experience preferred
Technical writing or policy development experience preferred

Benefits

Comp & perks

Curated development plans and professional development opportunities
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
Annual incentive bonus plan