Senior Clinical Operations Specialist - PharmD

Outcomes®; Overland Park (KS); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical, Dental, Vision Plans

Voluntary Benefits

HSA & FSA

Fertility & Family Planning Benefits

Adoption Assistance Program

Employee Resource Groups

Flex PTO for Exempt Associates & up to

11 Paid Holidays

Corporate Wellness Program

401k Employer Match & Roth Option

Job summary

Outcomes® is seeking a Pharmacist to lead clinical service design and configurations as a senior clinical operations specialist. You will support the Insight clinical engine, manage clinical opportunities, and serve as a liaison with product teams.

Responsibilities include developing clinical rules, implementing programs, and coordinating with Product, Clinical Program Management, and Quality teams. Travel up to 10% may be required.

Qualifications

• Pharmacy degree and active license required.
• Minimum 5 years of pharmacy operations or clinical experience.
• MTM experience preferred and CMS guideline familiarity.

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 clinical programs per CMS guidelines and quality measures.
• Develop service attributes and coordinate requirements with cross-functional teams.
• Create concepts for new covered services with Product and Tech teams.
• Review and enhance clinical reporting and define improvements.
• Attend national industry meetings, trade shows, and client visits as needed.
• Answer clinical questions from the Network.
• Act as a process owner for at least one operational task/project.
• Serve as a product SME for at least one Outcomes offering with Product Managers.

Skills

MTM experience

Microsoft Office

Strong organizational and time mgmt

Collaborative and independent work

Excellent communication

Travel 10%

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