Director Enterprise Pharmacy Govt Programs

Job Summary

This position is responsible for directing the Medicaid pharmacy operations team and responsible for analyzing and optimizing the operational metrics, productivity and program requirements. Direct and manage the ongoing assessment and program maintenance updates for the Medicaid pharmacy operations program. In addition, assess, direct and manage to the compliance of the program requirements as required by the applicable state Medicaid or Medicare requirements.

Manage the preparation and readiness for on‑going audits. Represent the department to internal and external areas including government agencies and audit vendors. Lead enterprise Medicaid operational and clinical programs.

• Registered Pharmacist with current, valid license in the state of operations.
• 4 years of experience in pharmacy.
• Strong leadership skills including working through others and training skills.
• Analytical skills including translating business needs into technical requirements.
• Verbal and written communication skills including interpersonal skills to direct team, work across internal departments and represent the company to external agencies.
• Negotiation and problem‑solving skills.
• Overseeing the annual budget and allocating resources for various projects and operational needs.
• Translating needs and initiatives into compelling business cases.
• Conducting cost‑benefit analyses to justify investments and ensure ROI.

• Knowledge of Medicaid and/or Medicare health plan and PBM operations.
• Additional degrees or credentials outside the pharmacy area (such as an MBA).
• 3 years of supervisory or management experience in a Pharmacy environment including managing a budget.

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.

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

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.

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 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.