Medicaid Plan Pharmacy Director

Health Care Service Corporation•Chicago, IL

7d•$121,200 - $225,200•Hybrid

About The Position

This position serves as the senior pharmacy leader at an individual Medicaid health plan. They are accountable for pharmacy strategy execution, regulatory compliance, financial performance including quality withhold/penalty programs, member and provider experience and stakeholder engagement within the plan. This role operates within a matrixed enterprise model, partnering closely with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment while meeting state-specific Medicaid requirements.

Requirements

Doctor of Pharmacy (PharmD) or equivalent experience
Registered Pharmacist in the state
7+ years experience in managed care pharmacy
Knowledge of medication use evaluation principles
Drug information skills
Analytical skills
Experience using window based word processing, spreadsheet and relational database software
Verbal and written communications skills
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

Nice To Haves

Experience in the managed Medicaid space
Strong financial and analytical acumen

Responsibilities

Pharmacy strategy execution
Regulatory compliance
Financial performance including quality withhold/penalty programs
Member and provider experience
Stakeholder engagement within the plan
Partnering closely with enterprise clinical and pharmacy operations teams to ensure consistent strategy deployment while meeting state-specific Medicaid requirements