Clinical Pharmacist - Managed Care PharmD

Health Care Service Corp.

Apply to this job
NM - Albuquerque MT - Helena Until 10/1/2026 3+ years exp H-1B sponsor history First posted August 2, 2026 Last posted August 2, 2026
Job description

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 conducting clinical reviews to optimize drug therapy for health plan members across medical and pharmacy benefit channels. The clinical pharmacist will utilize sound knowledge of member and/or client benefit design to inform drug therapy recommendations at an individual or population level. Administration and management of pharmacy programs in scope will include but not be limited to applying knowledge of utilization/formulary management programs, specialty pharmacy management, medication therapy management, data analysis, client relationships/support; and development of innovative clinical programs. The pharmacist will work directly with a multi-disciplinary team to advise plan members and providers in an effort to improve health outcomes.

JOB REQUIREMENTS:
* Registered Pharmacist in the States of operation (NM, IL, TX, MT).
* 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 workstation 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
 

PREFERRED JOB REQUIREMENTS:
* Doctor of Pharmacy, PharmD
* 3 years of experience within Pharmacy practice.
* Additional certifications and residency experience.
* Managed care and/or Pharmacy Benefit Management (PBM) experience.
* Experience with Medication Therapy Management (MTM) reviews, Medication Action Plans (MAP) development.
* Knowledge in Specialty Pharmacy, Government Programs, Utilization Management, Controlled Substance Initiatives.
* Pharmacy Informatics experience highly preferred.
* Assist in developing Medication Utilization Evaluations (MUE).
* Cost Savings (high dollar) and alternative drug therapy experience.
* Position is a production environment and at least 6-8 cases/queries count per day/per Pharmacist is expected and required.
* Must be willing and able to work 8:00 AM to 5:00 PM CST Monday through Friday, 3 days in the office and up to 2 days from home.

LI-FW1

#LI-Hybrid
This role is a Flex/Hybrid schedule requiring working 3 days either in the Richardson, TX; Albuquerque, NM; Chicago, IL or Helena, MT Headquarters offices and up to 2 days working from home. Core Business hours are 8:00 AM – 5:00 PM CST Monday – Friday.


Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our 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.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

About this role

Summary

Conduct clinical reviews to optimize drug therapy for health plan members.

Job title

Clinical Pharmacist - Managed Care PharmD

Experience level

3+ years

Minimum experience

3+ years exp

Industry

healthcare

Location requirements

Work in NM, MT, IL, TX; hybrid work allowed.

Salary

$102k–$184k

Visa sponsorship

H-1B sponsor history

Management role

No

Skills & keywords

Required skills

pharmacist licensedrug informationcommunicationpractice guidelinespharmacoeconomics

Preferred skills

PharmDmanaged careMTM reviewsspecialty pharmacyinformatics

Specializations

clinical reviewmedication therapy managementpharmacy benefit managementspecialty pharmacyutilization management
Locations

Structured locations inferred from the posting.

Albuquerque, NM, USA

Hybrid City

Helena, MT, USA

Hybrid City

Chicago, IL, USA

Hybrid City

Richardson, TX, USA

Hybrid City