Clinical Operations Lead — Insight Engine & Programs

Outcomes®; Dublin (OH); On-site; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

HSA & FSA

Fertility & Family Planning Benefits

Adoption Assistance Program

Employee Resource Groups

Flex PTO for Exempt Associates & up to

11 Paid Holidays

Wellness Program

401k Employer Match & Roth Option

Job summary

Outcomes® is seeking a Pharmacist to lead clinical service design and manage configurations for the Insight Clinical Engine. The role supports internal and external stakeholders and drives clinical opportunity generation.

You will collaborate with Product teams and cross-functional groups to align programs with client needs, while ensuring CMS guidelines and quality measures are met. Domestic and international travel up to 10% may be required.

Qualifications

• 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
• 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%

Responsibilities

• 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

Skills

MTM experience

MS Office proficiency

Time management

Communication

Organization

Multitasking

Collaboration

Attention to detail

Problem solving

Adaptability

Professionalism

Travel readiness

Education

Pharmacy degree (BS or PharmD)

Active pharmacist license

Tools

Microsoft Office

Job description

Outcomes® is seeking a Pharmacist to lead clinical service design and manage configurations for the Insight Clinical Engine. The role supports internal and external stakeholders and drives clinical opportunity generation.

You will collaborate with Product teams and cross-functional groups to align programs with client needs, while ensuring CMS guidelines and quality measures are met. Domestic and international travel up to 10% may be required.