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HCSC

Offers health insurance and wellness programs

Clinical Pharmacist

PharmacyPosted on Nov 12
Full-time

About the Job

Requirements

  • Registration as a pharmacist in the United States.
  • Experience using Windows-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, and quality improvement processes and techniques.
  • Knowledge of medication use evaluation principles.
  • Ability to remain at a workstation and perform computer entry for long periods as required.
  • Ability to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.

Responsibilities

  • Develop and support recommendations related to formulary coverage, preferred products, tier placement, exclusions, formulary alternatives, and other drug-list strategies.
  • Monitor new-to-market drugs, pipeline therapies, new indications, generics, biosimilars, drug shortages, regulatory developments, and other pharmaceutical market changes.
  • Evaluate clinical, financial, regulatory, operational, and member considerations when assessing formulary strategies.
  • Analyze pharmacy utilization, drug spend, market trends, formulary performance, product conversion, and other data to identify opportunities and assess strategy performance.
  • Support formulary oversight, including quality assurance of formularies, drug lists, formulary files, and related pharmacy benefit programs.
  • Monitor implemented strategies and identify utilization trends, financial opportunities, member impacts, operational issues, and opportunities for continued optimization.
  • Participate in internal, client-initiated, regulatory, and cross-functional pharmacy projects.
  • Research and respond to formulary-related questions and provide clinical expertise to internal stakeholders.
  • Develop and present clinical analyses, recommendations, reports, and educational materials to clinical and business audiences.
  • Maintain knowledge of pharmaceutical products, managed care pharmacy, regulatory requirements, industry trends, and emerging pharmacy strategies.

Desired Qualifications

  • Three years of experience within pharmacy practice.
  • Additional certifications and residency experience.
  • Managed care and/or Pharmacy Benefit Management (PBM) experience.
  • Medication Therapy Management (MTM) experience, specialty pharmacy, or knowledge of government programs.

About the Company

HCSC

Offers health insurance and wellness programs

HCSC is a health insurance provider active in Illinois, Montana, New Mexico, Oklahoma, and Texas. It sells health insurance plans to individuals, families, and businesses, funding its services through member premiums. The company works by offering a range of plans tailored to different needs and by investing in wellness programs and care initiatives aimed at improving member health and reducing overall costs. Compared with others, HCSC emphasizes its long history, broad regional footprint, and its focus on quality care, cost management, and wellness-driven outcomes, distinguishing itself through sustained service and programs that support healthier living. Its goal is to help people live healthier lives by delivering reliable coverage, improving member outcomes, and controlling healthcare costs.

Company size
Not listed
Company stage
Not listed
Total funding
$511.7M
Headquarters
Chicago, IL
Founded
1936

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