Senior Clinical Operations & Product Liaison

RXinsider LTD.; West Des Moines, Northern (IA, KY); Hybrid; USD 110,000 - 165,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision plans

HSA & FSA

Job summary

RXinsider LTD. seeks a Pharmacist to lead clinical service design and oversee clinical configurations for the Insight engine, acting as a senior clinical operations specialist for internal and external stakeholders.

You will develop MTM-based programs, collaborate with product teams, and ensure CMS-aligned guidelines while driving opportunities across networks and improving service offerings.

Qualifications

• Minimum 5 years of work experience in pharmacy or clinical operations.
• Experience with MTM is preferred.
• Strong proficiency with Microsoft Office products.

Responsibilities

• Develop and maintain clinical rules for the Insight Clinical Engine.
• Design and implement new clinical programs aligned with client needs and company priorities.
• Implement and maintain clinical programs per CMS guidelines and quality measures.
• Develop service attributes and coordinate with product, clinical program management, quality, and technology teams to define requirements.
• Evaluate clinical reporting and define enhancement requirements.
• Participate in national meetings, trade shows, and client visits as needed.
• Answer clinical questions from the Network.
• Serve as process owner for at least one operational task/project.
• Serve as product SME for at least one Outcomes product offering with Product Managers.

Skills

MTM experience

Microsoft Office

Organizational skills

Time management

Communication skills

Interpersonal skills

Detail-oriented

Solution oriented

Prioritization

Adaptability

Cross-functional communication

Travel willingness

Education

Pharmacy Degree (BS or PharmD)

Active pharmacist license

Job description

RXinsider LTD. seeks a Pharmacist to lead clinical service design and oversee clinical configurations for the Insight engine, acting as a senior clinical operations specialist for internal and external stakeholders.

You will develop MTM-based programs, collaborate with product teams, and ensure CMS-aligned guidelines while driving opportunities across networks and improving service offerings.