Clinical Operations Specialist

Outcomes Operating Inc; West Des Moines (IA); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

HSA & FSA

Paid Parental Leave

Job summary

Outcomes Operating Inc. is seeking a Pharmacist to lead clinical service design and manage the Insight clinical engine. You will work with internal and external stakeholders to implement new clinical programs aligned with client needs and company priorities.

Responsibilities include developing clinical rules, CMS-compliant programs, and ongoing evaluation of clinical reporting, while coordinating with Product, Clinical Program Management, and Quality teams as needed.

Qualifications

• 1 year minimum work experience required.
• Active pharmacist license in good standing.
• Experience with MTM preferred.

Responsibilities

• Design and maintain clinical service configurations.
• Oversee Insight clinical engine and program development.
• Ensure CMS guidelines and quality measures are followed.
• Collaborate with Product, Clinical Program Management, and Quality teams.

Skills

MTM

Communication

Organizational skills

Team player

Education

Pharmacy degree BS/PharmD

Active pharmacist license

Tools

Microsoft Office

Job description

JOB SUMMARYPharmacist who manages clinical service design and associated clinical configurations, serves as 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 processesDevelop and maintain clinical rules for the Insight Clinical EngineDesign and implement new clinical programs that align with client requests, network pharmacist capabilities and company prioritiesImplement and maintain clinical programs in accordance with CMS guidelines and regulations, quality measures, and clinical guidelinesDevelop and maintain service attributesDevelop concepts for new covered services and coordinate with Product, Clinical Program Management, Quality Management, and technology teams to define requirementsContinually evaluate clinical reporting and define requirements for enhancements, as neededParticipate in national industry meetings, trade shows, and client visits, as neededAnswer clinical questions from the NetworkKNOWLEDGE & REQUIREMENTSExperience with MTM, preferredProficient in Microsoft Office productsStrong organizational and time management skillsAbility to work collaboratively and independently while managing multiple projects, assignments, and responsibilitiesExcellent communication and interpersonal skillsHighly organizedMust be able to manage competing demands and multiple priorities, while maintaining a strong attention to detailSolution orientedExcellent time management skillsPrioritization skills and goal settingAdaptable to learn new processes, concepts, and skillsAbility to communicate across all levels of an organization, demonstrating professionalism and good judgment at all timesTravel Requirements Domestic and or International, up to 10%EDUCATION & EXPERIENCE REQUIREMENTSMinimum years of work experience: 1 yearMinimum level of education or education/experience:Pharmacy Degree (BS or PharmD)Active pharmacist license in good standing with a state board of pharmacyWhat’s In It For You?Medical, Dental and Vision PlansVoluntary BenefitsHSA & FSAFertility & Family Planning BenefitsPaid Parental LeaveAdoption Assistance ProgramEmployee Resource GroupsFlex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates11 Paid HolidaysCorporate Wellness Program401k Employer Match & Roth Option Available – immediate eligibility#LI-HYBRID