Manager, Clinical Operations

Clinical Operations Manager

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.

Primary Responsibilities :

• Providing leadership support to the onsite team in problem-solving situations involving the following, but not limited to 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, ensuring they perceive our customer site pharmacy as the pharmacy of choice and ultimately impacting their level of success in their therapy
• 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 through every step of their therapeutic journey
• 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 and helping to lead other projects as needed
• Serving as a resource and drug expert in specialty medications and increasing knowledge through research and writing activities

Required Qualifications :

Preferred Qualifications :

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.