Clinical Pharmacy Manager

Health Care Service Corporation

. Direct the development, maintenance, and ongoing oversight of clinical and operational programs and processes for enterprise pharmacy government programs of Medicare and Medicaid .

Posted 10/2/2026full-timeUnited StatesMid-LevelSenior💰 $102,000 - $184,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing clinical and operational programs for Medicare and Medicaid, with a focus on improving healthcare quality and optimizing health outcomes. Proficient in developing reimbursement methodologies and overseeing pharmacy benefit managers to ensure effective government pharmacy operations.

Highest-signal resume keywords

Registered PharmacistCorporate Pharmacist ExperienceMedication Use Evaluation PrinciplesMTM Program ExperienceAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Practice GuidelinesFormulary ProgramsPharmacoeconomicsPharmacy Quality Improvement ProcessesDrug Information Skills

Soft Skills

Verbal Communication SkillsWritten Communication SkillsAbility to Handle Multiple Priorities

Tools & Technologies

Microsoft ExcelMicrosoft PowerPointWindow Based Word ProcessingSpreadsheet SoftwareRelational Database Software

Certifications & Qualifications

Registered Pharmacist

Industry Keywords

CMS StarsMedicaid Quality Withhold ProgramsPharmacy Cost TrendsClinical ProgramsHealthcare Quality Improvement

About the role

Key responsibilities & impact

Direct the development, maintenance, and ongoing oversight of clinical and operational programs and processes for enterprise pharmacy government programs of Medicare and Medicaid
Oversee CMS Stars and Medicaid Quality Withhold programs
Manage Medicare and Medicaid operational and reporting activities
Develop programs for prescribers and networks of pharmacies
Monitor pharmacy cost and utilization trends
Develop clinical programs emphasizing disease management and clinical outcomes
Develop and maintain reimbursement methodologies for pharmaceuticals
Oversee contracted pharmaceutical benefit managers (PBMs)
Ensure the overall effectiveness of government pharmacy operations and programs
Collaborate with HCSC management, professional staff, and external healthcare providers to improve healthcare quality, optimize health outcomes, and improve cost of care

Requirements

What you’ll need

Registered Pharmacist in the state
Corporate Pharmacist experience, including experience with pharmacy practice guidelines or practice parameters, 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
Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management
MTM program experience or completion of MTM/Pharmaceutical Care Training preferred
Experience developing and implementing system tools preferred
Experience with Microsoft Excel and PowerPoint preferred
Experience with Medicare Star measures preferred

Benefits

Comp & perks

Curated development plans and professional development
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