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Clinical Pharmacist (Remote in Arizona or New Mexico)

Role overview

Qualifications

  • Registered Pharmacist in the United States
  • Experience using window based word processing, spreadsheet and relational database software
  • Strong verbal and written communication skills
  • Knowledge of practice guidelines or practice parameters

Responsibilities

  • Perform activities associated with administration and management of pharmacy programs
  • Assist in the development, implementation and maintenance of a disease state formulary system
  • Support the development and execution of initiatives that improve the quality and cost-effectiveness of drug therapy
  • Manage client relationships and support

Key facts

Hard skills

Other skills

  • Communication
  • Time Management
  • Problem Solving
  • Multitasking

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

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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.

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.

* PharmD or bachelor’s degree in pharmacy with advanced clinical experience.

* Current registered and unrestricted Pharmacist licensure in the state of residence.

* Completion of a managed care rotation, residency, or relevant clinical program.

* Experience working with Medicare Stars, MTM, or population-health pharmacy programs.

* 3 or more years of clinical and/or managed care experience.

* Knowledge of computer applications (Excel, PowerPoint), including pharmacy claims systems.

* Knowledge of regulatory requirements with emphasis on Medicare.

* Ability to travel up to 250 miles to support provider groups.

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

* 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 250 miles) to support assigned provider groups.


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.


Must Reside in New Mexico or in Arizona


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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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