Clinical Operations Specialist

Outcomes®; West Des Moines (IA); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental and Vision plans

Voluntary benefits

HSA & FSA

Fertility & Family Planning benefits

Paid parental leave

Adoption assistance program

Employee resource groups

Flex PTO and 15 days in first year for

401k employer match & Roth option

Job summary

Outcomes® is seeking a Pharmacist to manage clinical service design and configurations, serving as a clinical operations specialist for internal and external stakeholders. You will oversee the Insight clinical engine and drive clinical opportunity generation processes.

You will develop and maintain clinical rules for the engine, design new programs aligned with client needs and CMS guidelines, and collaborate with Product, Clinical Program Management, Quality, and technology teams to define

Qualifications

• Pharmacist with BS or PharmD and current license.
• Minimum 1 year of related work experience.
• MTM experience preferred.
• Strong communication and collaboration abilities.

Responsibilities

• Develop and maintain clinical rules for the Insight Clinical Engine.
• Design and implement new clinical programs aligned with client requests and CMS guidelines.
• Implement and maintain clinical programs with quality measures and clinical guidelines.
• 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.

Skills

MTM experience

Strong organizational skills

Excellent communication

Time management

Manage multiple projects

Travel availability

Education

Pharmacy degree (BS or PharmD)

Active pharmacist license in good standing

Tools

Microsoft Office

Job description

Job Summary

Pharmacist 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 processes

• 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

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
• 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: 1 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

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 HolidaysCorporate Wellness Program
• 401k Employer Match & Roth Option Available – immediate eligibility