Logo for Health Care Service Corporation

Clinical Pharmacist

Role overview

Qualifications

  • Registered Pharmacist in the United States
  • Bachelor’s degree in pharmacy; Doctor of pharmacy degree preferred
  • 3 years of experience within Pharmacy practice
  • Strong Verbal and written communication skills

Responsibilities

  • Perform activities associated with administration and management of pharmacy programs
  • Conduct comprehensive medication reviews for high-risk populations
  • Collaborate with multidisciplinary teams to enhance drug therapy quality and effectiveness
  • Support the development and execution of clinical initiatives

Key facts

Other skills

  • Analytical Thinking
  • Problem Solving
  • Communication
  • Teamwork
  • Prioritization
  • Computer Literacy

About the company

Health Care Service Corporation logo

Health Care Service Corporation

Health Insurance (Payers)

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

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

HCSC
This Position Is Responsible For Performing Activities Associated With Administration And Management Of Pharmacy Programs Including But Not Limited To Assisting In The Development, Implementation And Maintenance Of A Disease State Formulary System. Utilization Management Programs. Specialty Pharmacy Management. Medication Therapy Management, Client Relationships And Support; And Development Of Innovative Clinical Programs.

CARE ALLIES
The CareAllies clinical pharmacist will play a key role in executing on our strategic priorities focused on unlocking value and quality for physicians by reducing complexity of care and elevating clinical results.

MTM
The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.

HCSC

JOB REQUIREMENTS:
* Registered Pharmacist in the United States.
* Experience using window based word processing, spreadsheet and relational database software.
* Drug information skills.
* Strong Verbal and written communication skills.
* Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.
* Knowledge of medication use evaluation principles.
* Ability to remain at a work station and perform computer entry for long periods of time, as required.
* Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management

PREFERRED JOB REQUIREMENTS:
* 3 years of experience within Pharmacy practice.
* Additional certifications and residency experience.
* Managed care and/or Pharmacy Benefit Management (PBM) experience.
* MTM experience, specialty pharmacy, or government programs knowledge.

* Ability to travel up to 25% to support provider groups.

* Work Hours are in the Mountain Standard Time Zone and must be willing to work in Central Time Zone as well.

* Strong Presentation and Communication skills

***This is a Clinical Optimization Pharmacy role.

The Clinical Optimization Pharmacist is responsible for daily clinical pharmacy activities within the Medicare program. This position supports the development and execution of initiatives that improve the quality and cost-effectiveness of drug therapy in coordination with ambulatory care providers and clinical teams.

The position requires limited regional travel (up to 25% ) to support assigned provider groups.

CARE ALLIES

  • Education:
    • At a minimum candidates will need to have a bachelor’s degree in pharmacy. Doctor of pharmacy degree is strongly preferred.
  • Licenses:
    • Registered in good standing pharmacy license in <State> is required.
    • Registered pharmacist preceptor in <State>
  • Experience:
    • Professional experience in managed care and / or in ambulatory care of 3+ years.
    • Professional pharmacy practice experience with the patient population in the <Geographic Coverage Area Description>.
  • Skills:
    • Strong communication skills to convey clear understanding of unique needs to different audiences.
    • Demonstrated ability to work independently, solve problems, and make sound decisions in a timely fashion.
    • Ability to deal with ambiguity and continue to operate effectively.
    • Effectively builds informal relationship networks inside and outside the organization.
    • Ensure tasks are prioritized appropriately to effectively and efficiently accomplish objectives and goals
    • Proficiency in computer applications including Microsoft office platforms word, excel, and power point.
  • Knowledge:
    • Foundational understanding of the structure of the CMS Medicare program and associated regulatory landscape
    • Foundational understanding of the CMS quality improvement programs.

Preferred Requirements:

  • Completion of an ASHP accredited Pharmacy PGY1 Residency program.

MTM

  • Active Pharmacist license required 

  • Doctor of Pharmacy (PharmD) degree required 

  • Residency and/or Board Certification preferred 

  • Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice 

  • Minimum 3 years’ experience in Managed Care, Medicare and/or Medicaid settings preferred 

  • Experience with Medication Therapy Management (MTM) programs strongly preferred 

  • Familiarity with MTM platforms (ex: Adhere Health’s Optimize or similar applications) preferred 

  • Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences 

  • Bilingual proficiency in English and Spanish preferred 

  • Advanced proficiency in Microsoft Office applications including Word, Excel, PowerPoint, and Outlook 

  • Strong computer literacy with the ability to navigate systems and applications simultaneously 

  • Strong learning agility and ability to apply new concepts and tools 

  • Strong analytical thinking, problem solving and clinical decision-making skills 

  • Ability to develop innovative solutions to complex healthcare challenges 

Position requires 25% of travel

#LI-AC1

#LI-Remote
This is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist license in the State of residence.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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 https://careers.hcsc.com/totalrewards.

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.

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

$102,000.00 - $184,300.00

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

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Pharmacist Related jobs

Other jobs at Health Care Service Corporation

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.