Director, Clinical Systems Operations – Pharmacy

This is a fully remote position, open to applicants in Alabama, +39 more states.

📋 Description

• Supervise the creation, deployment, and functioning of medical management information systems, along with new technological solutions.

• Lead the Clinical Systems initiatives for the Pharmacy team.

• Coordinate workflows for over 50 clinical programs and initiatives, ensuring adherence to business rules.

• Oversee more than 10,000 programmed communications, with an annual volume exceeding 8 million.

• Manage systems that support direct clinical interactions and various clinical program activities.

• Provide business rules for clinical data informatics to identify specific populations and medication-related issues.

• Integrate eligibility, medical, and pharmacy claims data across extensive data sets.

• Manage program triage to pharmacists and technicians based on the program type, language, and state board of pharmacy licensure regulations.

• Supervise system documentation, enhancements, business cases, requirements, regulatory programming and reporting, software defects, feature implementation, vendor activities, integrations, and User Acceptance Testing (UAT).

• Collaborate with IT to address system and program requirements.

• Provide guidance to business functions, ensuring alignment with standard solutions and processes.

• Assess system and program performance and implement necessary improvements.

• Oversee the implementation and upgrades of new clinical systems.

• Manage the investigation and resolution of clinical system issues.

• Lead a team of 11 individuals, including 4 direct reports.

⛳️ Requirements

• Bachelor's degree in Nursing, Computer Science, Business Administration, Management Information Systems, or a closely related field, or equivalent experience.

• Over 7 years of experience in applications, project management, or implementation.

• Prior management experience, including responsibilities related to hiring, training, workload assignment, and performance management of staff.

• Previous ownership of clinical applications and leadership in clinical systems operations, pharmacy or managed care operations, regulatory compliance and reporting, vendor management, healthcare technology platform management, workflow and process optimization, and cross-functional leadership is highly preferred.

• Must be willing to travel up to 30% of the time.

• Must support Eastern or Central business hours.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase options.

• Tuition reimbursement program.

• Paid time off along with holidays.

• Flexible work arrangements available, including remote, hybrid, field, or office work schedules.

• Additional incentive programs may be included in the total compensation package.

• Equal opportunity employer dedicated to promoting diversity.