Clinical Operations Specialist

OUTCOMES OPERATING INC•West Des Moines, IA

5d•Hybrid

About The Position

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.

Requirements

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
Minimum 1 year of work experience
Pharmacy Degree (BS or PharmD)
Active pharmacist license in good standing with a state board of pharmacy

Nice To Haves

Experience with MTM

Responsibilities

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

Benefits

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