Managed Care Pharmacist - TCHP

Position: Managed Care Pharmacist - TCHP

Job ID: 153393

Location: US-TX-Bellaire

Department: Medical Affairs

Talent Area: Pharmacy

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000+ dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


We are searching for a Pharmacist (Managed Care) — someone who works well in a fast-paced setting. In this position, you will play a vital role within the Pharmacy department and will work closely with the Director of Pharmacy and other key personnel to drive forward clinical projects, improve operation efficiencies, create clinical content and serve as a mentor to pharmacy students.


Think you’ve got what it takes?

Responsibilities :

  • Identify opportunities to improve patient and prescriber experience, clinical outcomes, cost savings, and operations efficiency
  • Create and maintain appropriate and useful policies and procedures affecting areas of responsibility
  • Review drug utilization trends to assess the effectiveness of current utilization management practices for both pharmacy and medical drugs
  • Participate in the education of health plan employees, pharmacy students, and non-pharmacy personnel and develop an educational program and plan that can be incorporated into pharmacist’s routines, increasing their clinical knowledge
  • Ensure the accuracy of, and submits required reports promptly
  • Participate in audits of pharmacy operations and the pharmacy benefits manager (PBM)


  • A bachelor’s degree in science in pharmacy or doctor of pharmacy
  • RPH from the state of Texas
  • A minimum of 1-year experience in PGY1 Managed Care Pharmacy residency preferred or
  • A minimum of 3 years’ experience in Managed Care experience at a health plan or PBM working in utilization management, analytics, formulary management, and/or clinical literature preferred

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