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