Job detail

Clinical Pharmacist (MTM) - Work From Home

Health Care Service Corporation

#Board Certification #Healthcare #Managed Care #Medicare #Medicaid #Drug Therapy #Clinical Pharmacist #PharmD #HCSC #MTM #CMR #Comprehensive Medication Review

Full Time Remote Ok Remote friendly 2-5 yrs$102,000 - $184,300 / YEARPosted 2 days agoCloses soon

Location (5)

Indianapolis, Indiana

Salary

$102,000 - $184,300 / YEAR

Locations

5 listed locations

Indianapolis, IndianaChicago, IllinoisNashville, TennesseeRichardson, TexasPensacola, Florida

Quick overview

Conduct comprehensive medication reviews for high-risk Medicare members to improve drug therapy safety and effectiveness. Collaborate with multidisciplinary teams to address gaps in care, medication affordability, and adherence.

Requirements summary

Requires a PharmD degree and an active, unrestricted pharmacist license in the state of residence. Preference is given to candidates with 3+ years of experience in Managed Care or MTM programs and bilingual proficiency in English and Spanish.

postgraduate degreeProblem SolvingMicrosoft OfficePatient EngagementAnalytical ThinkingManaged CareClinical Decision-MakingMedication Therapy ManagementEvidence-Based GuidelinesClinical PharmacyDrug Interaction AssessmentBilingual English and SpanishComprehensive Medication Reviews

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 (Healthspring)The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members.
In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations.
These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.
JOB REQUIREMENTS (MTM): Active and unrestricted Pharmacist license in the State of residence required Doctor of Pharmacy (PharmD) degree required Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice Minimum 3 years’ experience in Managed Care, Medicare and/or Medicaid settings preferred Experience with Medication Therapy Management (MTM) programs strongly preferred Familiarity with MTM platforms (ex: Adhere Health’s Optimize or similar applications) preferred Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences Bilingual proficiency in English and Spanish Advanced proficiency in Microsoft Office applications including Word, Excel, PowerPoint, and Outlook Strong computer literacy with the ability to navigate systems and applications simultaneously Strong learning agility and ability to apply new concepts and tools Strong analytical thinking, problem solving and clinical decision-making skills Ability to develop innovative solutions to complex healthcare challenges PREFERRED JOB REQUIREMENTS: *Strong experience with MTM required *Bilingual (English and Spanish preferred) *Must be willing to work Phone Queue *Must be clinically strong with experience in diverse programs (MTM, Case Referrals, Narcotics) *Residency and/or Board Certification preferred #LI-FW1 #LI-Remote This is a Remote/Work-From-Home role.
Must have an active and unrestricted Pharmacist license in the State of residence.
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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.
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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.
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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.

Clinical Pharmacist (MTM) - Work From Home

5 listed locations

Quick overview

Requirements summary

Job description

Benefits

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