Senior Clinical Operations Specialist

Job Summary

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

• 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%

• 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

• 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

• 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