Clinical Accountt Consultant Pharmacy Medicare Formulary Strategy

Job Summary: The Clinical Acct Consult Pharmacy ‑ Medicare Formulary Strategy role is responsible for multiple aspects of the development and execution of Medicare PartD formulary strategy in accordance with CMS42C.F.R. §423.100, 120 Prescription Drug Benefit Manual Chapter6‑ “PartD Drugs and Formulary Requirements” to ensure the health plan’s formularies meet regulatory requirements and HCSC goals. Required Job QualificationsRegistered 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 QualificationsPharm. D. preferred Managed care pharmacy residency 2 or more years of Medicare PartD experience Knowledge of Medicare PartD 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

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. 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 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 StatementWe 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. 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. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. 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. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NewMexico, 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.