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Clinical Program Consultant, Infusion Quality Control and Assurance

100% Remote Full-time Open now

About the position Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The individual will work closely with team members, operations, and other subject matter experts to identify quality and patient safety opportunities requiring improvement. Expectations for the candidate in this role include: Serving as a subject matter expert in quality and patient safety science principles, supporting the training of junior team members, and providing as a clinical quality expert in all applicable meetings. This individual will be seen as a leader to their junior peers and can drive clinical improvement recommendations to operational areas. This individual will be responsible for providing feedback to the pharmacies on high-risk areas and alerting leadership of any trends identified. This position will provide direct coaching opportunities to improve pharmacist and nurse actions through the appropriate quality tools and communication methods. The candidate for this role must be willing to learn and keep abreast of the complex and evolving pharmacy and infusion world. Clinical Analysts are the most senior subject matter experts (SMEs). This role requires exceptional critical thinking, problem-solving skills and is self-directed. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Responsibilities

  • Review clinical quality related events, determine root cause, and complete the narrative consistent to team approach
  • Conduct Root Cause Analysis (RCA) and investigation and categorize events based on state & regulatory pharmacy law
  • Provide feedback for clinical coaching within operations
  • Provide feedback for various levels of clinical and non-clinical leadership on incident trends
  • Effectively communicate (written and spoken) to all levels of the organization
  • Provide recommendations to operations for the improvement of service delivery and patient experience
  • Engage with multidisciplinary departments to lead and / or assist in quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)

Requirements

  • Current and unrestricted Pharmacist or Nursing License
  • 2+ years healthcare quality control & assurance experience
  • 2+ years minimum demonstrated experience using root cause analysis / problem solving
  • 2+ years of experience in a matrixed organization
  • Experience working on quality improvement projects (QIP) and Correction and Preventive Actions (CAPA)
  • Experience organizing quality data in appropriate reporting format
  • Experience investigating, analyzing, synthesizing, and formulating conclusions
  • Intermediate proficiency in arenaflex Office applications (Word, Excel, PowerPoint, Outlook, Teams) Nice-to-haves
  • Clinical Pharmacist OR Nursing experience within an Infusion focused pharmacy
  • CPHQ, CPPS, or other relevant certifications
  • CPR+, CareLink (or other pharmacy prescription processing) system experience
  • URAC or other accreditations knowledge Benefits
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution Apply tot his job

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