Full-Time

Clinical Pharmacist

Albuquerque, NM

Confirmed live in the last 24 hours

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$97.6k - $176.3kAnnually

Mid

No H1B Sponsorship

Albuquerque, NM, USA + 2 more

More locations: Chicago, IL, USA | Richardson, TX, USA

Hybrid work arrangement: 2 days work from home, 3 days in Albuquerque office.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
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.
  • 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.
  • PBM (pharmacy benefits manager/vendor) oversight.
  • Medicare Stars rating program experience; knowledge of CMS performance & quality measures.
  • Member experience programs; implementation, monitoring & improvement initiatives.
Responsibilities
  • performing activities associated with administration and management of pharmacy programs including but not limited to PBM oversight, member experience initiatives, and Medicare Stars.
  • Provides pharmacy benefit support, compliance monitoring, optimizing medication adherence and MTM programs, and implements strategies to enhance patient outcomes.
  • Works closely with matrix partners to enhance member satisfaction, address member inquiries, and provide support to customer service teams.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC's plans work by collecting premiums from members, which fund the healthcare services they provide. In addition to insurance, HCSC invests in health and wellness programs aimed at lowering healthcare costs and enhancing the health outcomes of its members. What sets HCSC apart from other health insurance providers is its long-standing experience in the industry and its commitment to compassion and innovation in healthcare. The company's goal is to empower people to lead healthier lives while maintaining a focus on quality care.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • The new Houston office will create numerous job opportunities, fostering local economic growth and community development.
  • The acquisition of Cigna's Medicare businesses will expand HCSC's product offerings and geographic reach, benefiting current and future members.
  • Recognition as one of the 'Best Places to Work in IT' and having a CEO listed among the 'Most Influential People in Healthcare' highlight HCSC's strong leadership and positive work environment.

What critics are saying

  • The $231,900 fine from the Illinois Department of Insurance for an inaccurate provider directory could damage HCSC's reputation and trust with members.
  • The integration of Cigna's Medicare businesses may pose operational challenges and potential disruptions.

What makes HCSC unique

  • HCSC's strategic expansion into local communities, such as the new Houston office, emphasizes its commitment to economic growth and local workforce development, setting it apart from competitors.
  • The acquisition of Cigna's Medicare businesses significantly enhances HCSC's capabilities and reach in the growing Medicare market, providing a competitive edge.
  • HCSC's collaboration with Feeding America to address root causes of hunger showcases its holistic approach to community health, beyond traditional healthcare services.

Help us improve and share your feedback! Did you find this helpful?