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.

Provides comprehensive pharmacy network oversight and manages day-to-day operations with external pharmacy benefit managers across all Medicare plans. Continuously monitors network pharmacies to ensure pricing setup accuracy and maintain strict operational quality standards. Drives PBM vendor performance and operational integrity through claims research, rigorous testing of benefit design implementations, and direct oversight of PBM mail order and customer service functions. Ensures strict compliance with all Medicare, Medicaid, and enterprise regulatory standards.

Job Requirements:

• Previous experience with pharmacy networks and/or health plans
• Project management experience.
• Verbal and written communication skills.
• Flexible and ability to perform under pressure.
• PC proficiency including Word and Excel and database experience.

This role is Remote in Nashville and requires working in East Coast Time Zone

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Compensation: $92,700.00 - $167,500.00

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

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards