Medicaid Pharmacist

State of Nevada
Carson City, Nevada United States  View Map
Posted: Sep 18, 2025
  • Full Time
  • Public Health
  • Job Description

    Announcement Number: 1374900053

    State of Nevada
    Invites you to apply for
    Medicaid Pharmacist

    THE STATE OF NEVADA
    MISSION
    The Nevada Way: Empowering the executive
    branch to provide solution-oriented
    customer service to residents, businesses,
    and visitors so Nevada is recognized for its
    world-class destinations, its innovative and
    business-friendly economic environment, its
    quality of life, and its efficiently and
    effectively run state government.

    VISION
    Governing with transparency and fiscal
    responsibility; working with local
    government, non-profit and industry
    partners; delivering dependable services to
    citizens and visitors; and creating
    opportunities for Nevadans to lead safe,
    healthy, prosperous, and productive lives.

    "OUR CAPACITY TO
    ACHIEVE GREAT DEEDS
    WILL NEVER BE IN
    QUESTION, BECAUSE WE
    WILL FOLLOW THE NEVADA
    WAY - NEVER GIVE UP,
    NEVER GIVE IN, AND NEVER
    STOP DREAMING."
    Governor Joe Lombardo
    STATE OF THE STATE ADDRESS
    The State of Nevada, encompassing over
    110,000 square miles, is a land of vast
    natural beauty, economic diversity, and
    cultural vibrancy. Known as the "Silver
    State" for its historic mining legacy, Nevada
    today is equally recognized for its dynamic
    cities, rugged outdoor landscapes, and spirit
    of independence. Anchored by metropolitan
    hubs like Las Vegas and Reno, Nevada also
    offers a rich tapestry of rural communities,
    tribal lands, and open desert that reflect its
    deep Western roots.

    Home to more than 3.2 million residents,
    Nevada is one of the fastest-growing states
    in the nation. The state features no personal
    income tax, a favorable business climate,
    and year-round recreational opportunities-
    from world-class entertainment and dining
    to hiking, skiing, and stargazing beneath
    some of the clearest night skies in the U.S.

    With over 300 days of sunshine annually in
    many regions, Nevada's climate ranges from
    the dry heat of the Mojave Desert to the
    four-season beauty of the Sierra Nevada.
    The state is also home to Lake Tahoe, Great
    Basin National Park, Red Rock Canyon, and
    more than 800,000 acres of state park land.

    Nevada balances innovation and tradition,
    offering a high quality of life, a growing
    emphasis on sustainability and technology,
    and a commitment to preserving the natural
    and cultural richness that makes the state
    truly one of a kind.

    2

    MISSION STATEMENT:
    VISION STATEMENT:
    UNIT SECTIONS:
    3
    Nevada Health Authority - Nevada Medicaid Division
    To ensure access to affordable, reliable care by leveraging the state's buying power, streamlining
    programs and services, and driving better quality and more innovation in the health care system,
    while staying true to the values of public service, fiscal discipline, and accountable leadership.

    A healthy, thriving Nevada where health care is affordable and reliable for all.

    The Nevada Medicaid pharmacy benefit is administered across a
    Fee-for-Service program and multiple Managed Care Organizations.
    The pharmacy unit is responsible for providing the necessary oversight
    to ensure access and affordability for Medicaid recipients and the State.
    The pharmacy unit ensures the accessibility of a wide range of
    medications through a preferred drug list (PDL), implements
    utilization management measures, and monitors the quality and use of
    medications through various reviews. Additionally, Nevada Medicaid
    hosts two public boards that provide insight into the creation and
    management of the preferred drug list: the Drug Utilization Review
    (DUR) Board and the Silver State Scripts Board (SSSB). The DUR
    board recommends utilization management measures, while the SSSB
    approves medications as preferred or non-preferred within the Nevada
    Medicaid PDL.

    Consumer Health
    Services Division

    Health Care
    Purchasing &
    Compliance Division

    Medicaid Division

    Public Employee
    Benefit Program

    THE IDEAL
    CANDIDATE
    Qualifications:
    WHATYOU'LL BE DOING:
    WHATWE'RE LOOKING FOR:
    Join a team where your impact
    will matter from day one.

    Salary:
    LOCATION:
    KEY QUALITIES &
    COMPETENCIES:
    4
    Under the direction of the Nevada Health Authority
    Senior Clinical & Pharmacy Officer and the Nevada
    Medicaid Administrator, the Medicaid Pharmacist
    provides leadership and oversight of the Nevada
    Medicaid pharmacy benefit. The ideal candidate is a
    bold, forward-thinking leader that excels in shaping and
    executing strategy, driving results, and leading a team
    collaboratively.

    The Medicaid Pharmacist improves beneficiary health outcomes by identifying
    benefit inefficiencies, addressing health disparities, recommending evidence-based
    policy changes, and enhancing quality and access to care-especially within the
    pharmacy benefit. Some key responsibilities include:
    - Develop and implement strategic plans for pharmacy services that align with the
    organization's goals and the needs of the Medicaid population. Provide leadership
    and direction for all pharmacy operations, including managing a team and
    ensuring professional development.
    - Ensure full compliance with all federal and state regulations and monitor and
    analyze pharmacy utilization data to identify trends, potential fraud and abuse,
    and areas for quality improvement.
    - Analyze and interpret clinical and financial data to support formulary decisions
    and program effectiveness.
    - Build and maintain relationships with key stakeholders, including state Medicaid
    agencies, pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and
    other departments within the organization.
    - Negotiate and manage contracts with PBMs and other pharmacy vendors.
    - Provide clinical guidance and support to various internal departments that
    require clinical pharmacist intervention.

    - Doctor of Pharmacy (PharmD) degree or Bachelor of Pharmacy
    - Active and unrestricted Nevada Pharmacist license in good standing; or a
    Pharmacist License from another state and the ability to obtain a Nevada
    Pharmacist's license within 90 days of starting in the role
    - Minimum of 5 years of experience as a practicing pharmacist, including at least 3
    years in leadership, with preferred experience in managed care, health plan, or
    pharmacy benefit management settings
    - Excellent leadership, interpersonal,
    organization, analytical, verbal, and written
    communication skills

    - Ability to drive change, work collaboratively
    in interdisciplinary teams, and manage
    multiple priorities

    - Business acumen and financial management
    skills, including budgeting

    - Strong clinical background in specialty
    pharmacy is preferred

    - Proven track record of successful quality
    improvement and innovative pharmacy
    program implementation

    - Proficient in the evaluation of drug
    literature, clinical trial data, and electronic
    database information

    - Knowledge of federal and state laws
    governing Medicaid and pharmacy practice
    $170,285 annually based on
    Employee/Employer choice plan.

    Carson City, Nevada

    STATE BENEFITS
    The State of Nevada offers a wide array of benefits to employees, including:
    • No Nevada State income tax
    • Medical, dental, life, and disability insurance coverage
    • Twelve paid holidays per year
    • Three weeks of annual leave
    • Three weeks of sick leave
    • Participation in the Public Employees' Retirement System (PERS)
    • Access to a tax-sheltered deferred compensation plan
    • No Social Security contributions (Medicare deduction still required)
    • Additional benefits for long-term and CBA employees
    The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive,
    and innovative work environments with employees who reflect our communities and
    enthusiastically serve them. All applicants are considered without regard to race, color, national
    origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression,
    pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages.

    5

    APPLICATION & SELECTION PROCESS
    Applications will be accepted on a first-come, first-serve basis and will continue
    to be accepted until the position is filled. Applicants are therefore strongly
    encouraged to submit their applications as soon as possible. Hiring may occur at
    any time during the recruitment process. Interested applicants should submit
    their cover letter, resume, and a list of three professional references to:
    In your cover letter please indicate how you heard about this position. If you
    heard about this position through a website, please specify which website.

    Thank you!
    The graphic was created by DHRM
    6
    Logan Kuhlman, Personnel Officer of the Nevada Health Authority Director's Office
    Lkuhlman@nvha.nv.gov and copy Jenilee Simpson, Jenilee.Simpson@nvha.nv.gov

    Please reference "Pharmacist position" in subject line of email.

    Closing Date/Time: Until recruitment needs are satisfied
  • ABOUT THE COMPANY

    • State of Nevada
    • State of Nevada

    The presence of Nevada's earliest inhabitants, beginning about 12,400 years ago, is marked by many petroglyphs and archaeological sites. Baskets, decoys, and ingenious traps are evidence of the resourcefulness of these early people in a harsh and arid environment.

    European explorers traveled through Nevada in the early 19th century, but it was not until 1851 that the first settlements were established. An Act of Congress created the Territory of Nevada on March 2, 1861. James W. Nye of New York was appointed Nevada's first Territorial Governor by President Abraham Lincoln later that year. On October 31, 1864, President Lincoln proclaimed Nevada's admission to the Union as the 36th state. The State's first elected Governor, Henry Blasdel, took office on December 5, 1864.

    Today, Nevada is the nation's seventh largest state in land area. Several hundred mountain ranges cross its landscape, many with elevations over 10,000 feet. In contrast, the State's lowest point (along the Colorado River) is only 470 feet above sea level. From majestic mountains to desert valleys, nature has endowed Nevada with diverse and unique ecosystems.

    The Nevada Legislature has honored the State's natural resources and cultural heritage with a variety of State designations described below.

     

     

    Show more

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