Senior Clinical Operations Specialist - PharmD

Outcomes®; Orlando (FL); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental & Vision

HSA & FSA

Fertility & Family Planning

Adoption Assistance

Employee Resource Groups

Flex PTO

Paid Holidays

401k Match

Job summary

Outcomes® seeks a Pharmacist to lead clinical service design and manage the Insight clinical engine. You will serve as a senior clinical operations specialist for internal and external stakeholders, guiding clinical configurations and opportunities.

You will collaborate with Product, Clinical Program Management, Quality Management, and technology teams to define requirements and drive CMS-aligned programs. Domestic and international travel up to 10% may be required.

Qualifications

• Pharmacy degree (BS or PharmD) and active pharmacist license.
• Minimum 5 years of work experience.
• MTM experience preferred.
• Strong communication and time management skills.
• Ability to work with cross-functional teams and manage multiple priorities.

Responsibilities

• Develop and maintain clinical rules for the Insight Clinical Engine.
• Design and implement new clinical programs aligned 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

Microsoft Office

Organization & time mgmt

Communication skills

Interpersonal skills

Detail-oriented

Prioritization

Adaptability

Travel up to 10%

Collaboration

Education

Pharmacy Degree (BS or PharmD)

Active pharmacist license in good standing

Job description

Pharmacist 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 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

Qualifications

KNOWLEDGE & REQUIREMENTS

• 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%

Education & Experience Requirements

• Minimum years of work experience: 5 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

Physical Requirements

The 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 desk
• Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
• Occasional twisting of body
• Occasional reaching by extending hands and arms in any direction
• Occasional lifting, pulling, or pushing

What’s In It For You?

• Medical, Dental and Vision Plans
• Voluntary Benefits
• HSA & FSA
• Fertility & Family Planning Benefits
• 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 Holidays
• Corporate Wellness Program
• 401k Employer Match & Roth Option Available – immediate eligibility