Clinical Operations Specialist

Outcomes® is seeking a Clinical Operations Specialist to manage clinical service design, configurations, and operations. The role supports the Insight clinical engine, develops clinical programs and rules, oversees clinical opportunity generation, and collaborates with internal teams, network pharmacists, clients, and external stakeholders.

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

Preferred

• Experience with MTM, preferred

MTM experience

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

Company

Patient engagement and adherence software for pharmacies, payers, and pharma

Orlando, Florida, USA

http://outcomesmtm.com/

Founded in 1999

501-1000 employees

Qualifications

• 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: 1 year
• Pharmacy Degree (BS or PharmD)
• Active pharmacist license in good standing with a state board of pharmacy
• Experience with MTM, preferred

Required skills

Medication Therapy Management (MTM), Microsoft Office, Pharmacist License

Preferred skills

• Experience with MTM, preferred

Experience

1+ years