Health Care Service Corporation logo

Clinical Accountt Consultant Pharmacy Medicare Formulary Strategy

Health Care Service Corporation
Chicago, IL, USAHybridCustomer SuccessMid-Level$102,000 - $184,300Posted: today
Apply NowOpens Health Care Service Corporation's site

About the role

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 The Clinical Acct Consult Pharmacy - Medicare Formulary Strategy role is responsible for multiple aspects of the development and execution of Medicare Part D formulary strategy in accordance with CMS 42 C.F.R.

§423.100, 120 Prescription Drug Benefit Manual Chapter 6- “Part D Drugs and Formulary Requirements” to ensure the health plan’s formularies meet regulatory requirements and HCSC goals.

Required Job Qualifications: _ Registered Pharmacist _ 4 years of managed care pharmacy experience or 4 years of consulting experience in the pharmacy benefits industry (completion of managed care residency can substitute for 4 years of managed care pharmacy experience requirements) _ Knowledge of pharmacy benefits products, services and concepts _ Analytical skills including developing reports and synthesizing data to tell a story and develop recommendations _ Written and verbal communications skills including developing presentations and presenting to external business leaders or large

audiences _ Collaboration skills to work across organization on problem resolution, negotiation, consensus building, conflict management, and decision-making skills _ Relationship building skills to build strong customer relationships _ Project management skills and experience _ Experience with Microsoft Office applications (Word, Excel, PowerPoint) and clinical/business databases Preferred Job Qualifications: _ Pharm.D.

preferred _ Managed care pharmacy residency _ 2 or more years of Medicare Part D experience _ Knowledge of Medicare Part D regulatory requirements _ Knowledge of computer applications, including pharmacy claims systems _ Proficiency in Microsoft platform functionality (e.g., Word, PowerPoint, Excel) _ Understanding of formulary development and/or maintenance _ Formulary development and strategy experience _ Technical writing or policy development experience This is a Flex (Hybrid) role: 3 days in office; 2 days work from home.

#LI-PD1 #LI-Hybrid INJLF 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. Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances. 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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law. Base Pay Range $102,000.00 - $184,300.00 Exact compensation may vary based on skills, experience, and location.

Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans.

To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Minimum requirements

  • Registered Pharmacist with 4 years managed care pharmacy or consulting experience (managed care residency substitutes)
  • Knowledge of pharmacy benefits products, services, and concepts
  • Strong analytical, communication, collaboration, relationship building, project management skills, and Microsoft Office proficiency

This listing was parsed by AI and may not be complete. Check the official posting on Health Care Service Corporation's site for the most accurate information.

Ready to apply?
Applications are handled on Health Care Service Corporation's own careers site.
Apply Now

More roles at Health Care Service Corporation

Financial Reporting & Analysis Principal
Chicago, IL, USA · Remote
View →
Application Architect
Chicago, IL, USA · Remote
View →
Systems Analyst
Chicago, IL, USA · Remote
View →
Customer Advocate I
Chicago, IL, USA · Hybrid
View →
Lead Business Consultant
Chicago, IL, USA · Hybrid
View →