
10,000+ employees
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.
🔥 17 hours ago
🌶️ New Mexico – Remote
💵 $102k - $184.3k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💊 Pharmacist
🦅 H1B Visa Sponsor
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10,000+ employees
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.
• Perform activities associated with administration and management of pharmacy programs • Assist in developing, implementing, and maintaining a disease state formulary system • Support utilization management programs • Support specialty pharmacy management and medication therapy management • Manage client relationships and provide client support • Develop innovative clinical programs • Perform daily clinical pharmacy activities within the Medicare program • Support development and execution of initiatives improving drug therapy quality and cost-effectiveness • Coordinate with ambulatory care providers and clinical teams • Provide support to assigned provider groups through limited regional travel • Travel up to 25%
• 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 • Knowledge of pharmacoeconomics • Knowledge of 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 • Ability to handle multiple priorities and manage communications professionally • Additional certifications and residency experience preferred • Managed care and/or Pharmacy Benefit Management (PBM) experience preferred • MTM experience, specialty pharmacy, or government programs knowledge preferred • PharmD or bachelor’s degree in pharmacy with advanced clinical experience preferred • Active and unrestricted Pharmacist license in the state of residence required • Experience working with Medicare Stars, MTM, or population-health pharmacy programs preferred • Knowledge of Excel, PowerPoint, and pharmacy claims systems preferred • Knowledge of regulatory requirements, especially Medicare, preferred • Ability to travel up to 250 miles to support provider groups • Willingness to work in the Central Standard Time Zone • Strong presentation and communication skills • Must reside in New Mexico • Sponsorship is not available
• Curated development plans and professional development • Annual incentive bonus plan • 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 • Other incentives • Remote/work-from-home arrangement
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