Pharmacy Programs Manager

Health Care Service Corporation

. Provide comprehensive pharmacy network oversight across all Medicare plans .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $92,700 - $167,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing pharmacy networks and overseeing operations within Medicare plans, ensuring compliance with regulatory standards while driving vendor performance and operational integrity.

Highest-signal resume keywords

Pharmacy Network ManagementProject ManagementRegulatory ComplianceDatabase ExperienceVerbal And Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Pharmacy Network OversightClaims ResearchBenefit Design ImplementationOperational Quality StandardsPricing Setup Accuracy

Soft Skills

FlexibilityAbility To Perform Under Pressure

Tools & Technologies

PC ProficiencyMicrosoft WordMicrosoft Excel

Industry Keywords

MedicareMedicaidPharmacy Benefit ManagersMail Order PharmacyCustomer Service Functions

About the role

Key responsibilities & impact

Provide comprehensive pharmacy network oversight across all Medicare plans
Manage day-to-day operations with external pharmacy benefit managers
Monitor network pharmacies to ensure pricing setup accuracy and operational quality standards
Drive PBM vendor performance and operational integrity
Research claims and test benefit design implementations
Oversee PBM mail order and customer service functions
Ensure compliance with Medicare, Medicaid, and enterprise regulatory standards

Requirements

What you’ll need

Previous experience with pharmacy networks and/or health plans
Project management experience
Verbal and written communication skills
Flexibility and ability to perform under pressure
PC proficiency including Word and Excel
Database experience
Ability to work remotely from within the continental United States, excluding California, New York, Alaska, and Hawaii
Ability to work in the East Coast Time Zone
Successful completion of drug screening may be required

Benefits

Comp & perks

Curated development plans and professional development opportunities
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