Clinical Operations Specialist
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OUTCOMES OPERATING INC
West Des Moines, IA, US
Summary
The Clinical Operations Specialist manages clinical service design, maintains the Insight clinical engine, and develops clinical rules to align with client requests and CMS guidelines. They also coordinate with cross-functional teams to define requirements for new covered services and evaluate clinical reporting.
Job Description
Job Details: Job Location: W Des Moines Office - West Des Moines, IA, Salary Range: Undisclosed, 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: 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
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 Holidays
Corporate Wellness Program
401k Employer Match & Roth Option Available – immediate eligibility
#LI-HYBRID
Outcomes® unites technology and clinical relationships through a connected healthcare network to drive better outcomes. As a leading patient-centric technology business, we unite pharmacies, payers, and pharmaceutical companies through patient engagement solutions, tailored tools for the future pharmacy, and advanced workflow optimization. Our comprehensive offerings benefit a nationwide network of 48,000 community, chain, and grocery pharmacies, and more than 70 million patients.
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Orlando, Florida
Outcomes® unites technology and clinical relationships through a connected healthcare network to drive better outcomes. As a leading patient-centric technology business, we unite pharmacies, payers, and pharmaceutical companies through patient engagement solutions, tailored tools for the future pharmacy, and advanced workflow optimization. Our comprehensive offerings benefit a nationwide network of 48,000 community, chain, and grocery pharmacies, and more than 70 million patients.
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Orlando, Florida