Medicaid Plan Pharmacy Director

Job Summary

This position serves as the senior pharmacy leader at an individual Medicaid health plan. They are accountable for pharmacy strategy execution, regulatory compliance, financial performance including quality withhold/penalty programs, member and provider experience and stakeholder engagement within the plan.

This role operates within a matrixed enterprise model, partnering closely with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment while meeting state-specific Medicaid requirements. JOB REQUIREMENTS: Doctor of Pharmacy (PharmD) or equivalent experience. Registered Pharmacist in the state. 7+ years experience in managed care pharmacy. 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, as required. Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.

PREFERRED JOB REQUIREMENTS: Experience in the managed Medicaid space. Strong financial and analytical acumen. This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote #LI-AC1 #LI-Hybrid 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. 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. Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances. We are a drug-free and smoke-free workplace.

Employment may be contingent upon successful completion of drug screening in accordance with applicable law. Base Pay Range $121,200.00 - $225,200.00 Exact compensation may vary based on skills, experience, and location.