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Pharmacy Medicaid Manager

Job Summary

This position is responsible for managing staff accountable for leading projects and coordination of the Medicaid regulations and program changes; training and oversight of the Medicaid staff performing this work; monitoring of operational functions performed internally and externally; implementation, tracking and monitoring of Medicaid requirements to ensure compliance; and developing and maintaining Medicaid policies and procedures. The position is the pharmacist for Medicaid and assists in the development, implementation and maintenance of the prescription drug benefit, including formulary administration, clinical compliance and quality adherence.

Required Job Qualifications:

  • Registered Pharmacist in the state or eligible for licensure.
  • 5 years’ related experience
  • 1 year experience in a managerial/leadership capacity
  • Managed care experience.
  • Experience using window based word processing, spreadsheet and relational database software.
  • Drug information skills.
  • Verbal and written communication skills.
  • Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.
  • Knowledge of medication use evaluation principles.
  • Leadership skills.

Preferred Job Qualifications:

  • People management experience.
  • Knowledge of system operations (testing, system changes, etc.).
  • Background in administration of State and Federal Government contracts.

Please note: This role will work in the office three days a week.


We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet


HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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CEO of Health Care Service Corporation
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Maurice Smith
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Average salary estimate

$56654 / ANNUAL (est.)
min
max
$46K
$69K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

HCSC enjoys a proud history of performance, based on an unwavering commitment to our purpose—to do everything in our power to stand with our members in sickness and in health®—and the opportunities afforded our employees have to make it real.

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DATE POSTED
December 7, 2023

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