Senior Clinical Operations Specialist

OUTCOMES; West Des Moines (IA); On-site; USD 110,000 - 150,000; Full time

Job summary

Outcomes Operating Inc. seeks a Pharmacist to lead clinical service design and configurations for the Insight clinical engine.

The role acts as senior clinical operations specialist, coordinating with internal and external stakeholders and driving clinical program development aligned with CMS guidelines and client priorities. You will develop and maintain service attributes, generate clinical opportunities, and collaborate with Product, Quality, and Technology teams to define requirements.

Qualifications

• Pharmacy degree (BS or PharmD) with active license.
• Minimum 5 years of work experience in pharmacy/clinical operations.
• MTM experience preferred.

Responsibilities

• Design and maintain clinical rules for the Insight Clinical Engine.

Skills

MS Office

Time management

Communication skills

Collaboration

Prioritization

Adaptability

Education

Pharmacy degree (BS or PharmD)

Active pharmacist license in good standing

Job description

JOB SUMMARYPharmacist 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 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 NetworkServe as a process owner for at least one operational task/projectServe as a product SME for at least one Outcomes product offering by collaborating with Product Managers to develop and/or improve product offeringsKNOWLEDGE & 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: 5 yearMinimum level of education or education/experience:Pharmacy Degree (BS or PharmD)Active pharmacist license in good standing with a state board of pharmacyPHYSICAL REQUIREMENTSThe 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 deskOccasional standing, walking, stooping, kneeling, squatting, and climbing stairsOccasional twisting of bodyOccasional reaching by extending hands and arms in any directionOccasional lifting, pulling, or pushingWhat’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