Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group is a global organization that delivers care aided by technology to help millions of people live healthier lives. The Clinical Program Operations & Quality Consultant is responsible for supporting the operational management, regulatory compliance, quality oversight, and performance monitoring of clinical programs. This role combines clinical pharmacy expertise with program coordination and project management to ensure programs meet organizational goals and compliance standards.
Responsibilities
- Support the implementation, maintenance, and optimization of clinical program SOPs, policies and workflow
- Ensure programs are executed according to established clinical, regulatory, and operational standards
- Assist in the development and maintenance of workflows, policies, procedures, and operational documentation
- Provide clinical pharmacy expertise to support program design, implementation, and ongoing operations
- Support compliance with applicable healthcare regulations and accreditation requirements, including CMS, NCQA, URAC, state Boards of Pharmacy, and other regulatory bodies
- Support project planning, implementation, and monitoring for clinical and operational initiatives
- Track project timelines, deliverables, dependencies, and risks
- Prepare project status reports, presentations, and executive summaries
- Facilitate stakeholder meetings and ensure accountability for action items
- Support organizational change management and process improvement efforts
Skills
- Bachelor's degree in Project Management
- 3+ years of experience in clinical pharmacy, healthcare operations, managed care, quality, regulatory affairs, or clinical program support
- Strong in strategic thinking, problem solving, cross-functional collaboration, time and priority management
- Excellent communication and presentation skills
- Exceptional organizational skills and meticulous attention to detail, with the ability to manage multiple priorities and meet deadlines
- Doctor of Pharmacy (PharmD) degree with active pharmacist license
- Experience with compliance reviews, clinical program management, or quality improvement initiatives
- Knowledge of CMS regulations, NCQA standards, State and federal pharmacy regulations or Healthcare compliance or audit methodologies
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
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