R0055232

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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
a•ctive and unrestricted Pharmacist license in the State of residence.

Must Reside in New Mexico
Sponsorship is not available
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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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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families.

As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only

requests for accommodations in the application process
will be returned.

All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to \"candidate home\" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. 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