Senior Clinical Operations Specialist

DescriptionJOB SUMMARY

Pharmacist who manages clinical service design and associated clinical configurations, serves as senior clinical operations specialist for both internal and external stakeholders, provides ongoing support and management of the Insight clinical engine, oversees and manages clinical opportunity generation processes. This role is also responsible for serving as a Clinical liaison with product teams..

Develop and maintain clinical rules for the Insight Clinical Engine
Design and implement new clinical programs that align with client requests, network pharmacist capabilities and company priorities
Implement and maintain clinical programs in accordance with CMS guidelines and regulations, quality measures, and clinical guidelines
Develop and maintain service attributes
Develop concepts for new covered services and coordinate with Product, Clinical Program Management, Quality Management, and technology teams to define requirements
Continually evaluate clinical reporting and define requirements for enhancements, as needed
Participate in national industry meetings, trade shows, and client visits, as needed
Answer clinical questions from the Network
Serve as a process owner for at least one operational task/project
Serve as a product SME for at least one Outcomes product offering by collaborating with Product Managers to develop and/or improve product offerings

QualificationsKNOWLEDGE & REQUIREMENTS

Experience with MTM, preferred
Proficient in Microsoft Office products
Strong organizational and time management skills
Ability to work collaboratively and independently while managing multiple projects, assignments, and responsibilities
Excellent communication and interpersonal skills
Highly organized
Must be able to manage competing demands and multiple priorities, while maintaining a strong attention to detail
Solution oriented
Excellent time management skills
Prioritization skills and goal setting
Adaptable to learn new processes, concepts, and skills
Ability to communicate across all levels of an organization, demonstrating professionalism and good judgment at all times
Travel Requirements Domestic and or International, up to 10%

EDUCATION & EXPERIENCE REQUIREMENTS

Minimum years of work experience: 5 year
Minimum level of education or education/experience:

Pharmacy Degree (BS or PharmD)
Active pharmacist license in good standing with a state board of pharmacy

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Frequent sitting in stationary position at a desk
Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
Occasional twisting of body
Occasional reaching by extending hands and arms in any direction
Occasional lifting, pulling, or pushing

What’s In It For You?

Medical, Dental and Vision Plans
Voluntary Benefits
HSA & FSA
Fertility & Family Planning Benefits
Paid Parental Leave
Adoption Assistance Program
Employee Resource Groups
Flex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates
11 Paid Holidays
Corporate Wellness Program
401k Employer Match & Roth Option Available – immediate eligibility

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