Manager, Clinical Operations

UnitedHealth Group • Honolulu, HI

76d • $110,200 - $188,800

About The Position

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. The Clinical Operations Manager will work in partnership with Hawaii Pacific Health Straub Honolulu in Honolulu, HI. Reporting to the General Manager, this individual will have day-to-day oversight of the clinic operations in conjunction with Clinical Pharmacist responsibilities. This position will be located throughout the customer's multiple clinic locations in Honolulu, HI.

Requirements

• Bachelor's degree in Pharmacy or a PharmD and an active pharmacist license in applicable state
• Experience working in a lead role in a healthcare setting
• 5+ years of experience working as a pharmacist
• Knowledge of the specialty pharmacy industry
• Proficiency in standard workplace software (e.g., MS Office)

Nice To Haves

• Experience working in an early-stage health care environment
• Proficiency with standard software used in a healthcare setting such as EMR systems (e.g., EPIC, Cerner, Meditech), dispensing systems (e.g., QS1, RX30, Computer Rx)

Responsibilities

• Providing leadership support to the onsite team in problem-solving situations involving patient care, customer relations, projects and employee-relations matters
• Ensuring we are meeting our standards based on Service Level Agreements with regards to metrics and making operational adjustments as necessary to meet goals
• Generating monthly and/or quarterly reports to track progress towards SLA adherence, clinical goals, and operational KPIs
• Collaborating with quality team to ensure maintenance and completion of clinical and operational audits
• Analyzing and capturing new prescription sources and working with each clinic location's decision makers to grow our business
• Identifying areas of expansion within the clinics and ensuring optimum efficiency by reducing obstacles for providers
• Building and maintaining relationships with internal stakeholders and ensuring appropriate and timely communication between the customer and CPS staff
• Documenting, tracking and following-up on critical action items both on daily as well as long-term basis
• Monitoring critical daily operations and identifying opportunities for streamlining
• Developing and maintaining an escalation protocol on situation-specific matters
• Ensuring consistency and appropriateness of clinical and operational documentation within CPS and site systems to maintain compliance with CPS protocols as well as ACHC, URAC, and other relevant accrediting body standards
• Delivering 'VIP level' service to each patient in every interaction
• Enrolling specialty patients into the program by assisting with recruitment of patients to ensure the best possible clinical outcomes
• Supporting and working closely with patients for the life of their therapy to help them achieve the best possible clinical outcomes
• Working to prevent and or resolve drug-related issues, and providing drug information to patients and families, physicians, nurses, and other healthcare professionals
• Coordinating clinical projects, assisting with formulary decisions and ensuring billing compliance and revenue capture
• Serving as a resource and drug expert in specialty medications and increasing knowledge through research and writing activities

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees