Director Enterprise Pharmacy Govt Programs

Health Care Service Corporation • Chicago, IL

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About The Position

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. 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.

Requirements

• 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.

Nice To Haves

• 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.

Responsibilities

• Directing the Medicaid pharmacy operations team
• 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
• 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
• 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

Benefits

• At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to their 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 https://careers.hcsc.com/totalrewards.
• This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed