Clinical Pharmacy Manager

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.

This position is responsible for directing the development, maintenance and on‑going oversight for clinical and operational programs and processes for enterprise pharmacy government programs of Medicare with a focus on PDE Stars. This includes but is not limited to CMS stars, Medicare operational and reporting activity, programs for prescribers and network of pharmacies, pharmacy cost and utilization trends monitoring, clinical programs with emphasis on disease management and clinical outcomes, oversight of contracted pharmaceutical benefit managers (PBM), and the overall effectiveness of the government pharmacy operations and programs.

Additionally, this position requires collaboration with management and professional staff within HCSC and with external health‑care providers to improve quality of healthcare, optimize health outcomes and improve the cost of care.

• Registered Pharmacist in the state
• Corporate Pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, Pharmacoeconomics; or pharmacy quality improvement processes/techniques
• Knowledge of medication use evaluation principles
• Drug information skills
• Analytical skills
• Experience using window‑based word processing, spreadsheets and relational database software
• Verbal and written communications skills
• Ability to remain at a workstation 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.
• Extensive knowledge of the CMS Star Rating System, including Part D Measures
• Extensive knowledge of pharmacy claims data, along with a working knowledge of other health plan data, such as eligibility and medical claims
• Strong project management, organizational, analytical, communication, and relationship management skills
• Must be able to manage ambiguity and work in a fast‑paced environment
• Able to organize and manage multiple priorities

• PDE Stars vendor management experience
• Experience engaging diverse stakeholders to drive performance
• Financial acumen including ability to forecast expenses

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

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

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.

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.

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

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