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Clinical Operations Analyst

Iconma

Remote, RI(remote)

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JOB DETAILS
SKILLS
Analysis Skills, Budgeting, Change Control, Clinical Assessment, Clinical Medicine, Clinical Practices/Protocols, Clinical Support, Clinical Validation, Communication Skills, Continuous Improvement, Data Quality, Develop Methodologies, Financial Analysis, Health Plan, High School Diploma, Information Technology & Information Systems, Leadership, Maintain Compliance, Medicare, Microsoft Access Database, Microsoft Office, Operational Audit, Performance Management, Pharmacy, Presentation/Verbal Skills, Pricing, Problem Solving Skills, Process Improvement, Quality Control, Regression Testing, Regulatory Compliance, Regulatory Requirements, Reporting Skills, Resource Management, Retail, Software Testing, Strategic Planning, Team Player, Test Case, Test Plan/Schedule, Test Scripts, Testing, Time Management, Trend Analysis, Utilization Management, Writing Skills
LOCATION
Remote, RI(remote)
POSTED
Today
Our Client, a Retail Pharmacy company, is looking for a Clinical Operations Analyst for their Remote location.
 
Responsibilities:
  • The Analystwill develop test plans, test cases and test scripts for projects, among other assignedduties.
  • The Analyst will perform testing on various software and reporting systems.
  • The Analyst will work closely with PA Admin and Medicare Operations to test and validate the utilization management (UM) criteria, decision trees, drug lists, and letters that are loaded andfunctioning properly in the PA (MHK) system. Also, the analyst will be responsible for configuration quality control, code testing and test case writing.
  • Include ensuring the quality of PA Admin products for internal/external business users by testing cases and doing regression testing.
  • As a Analyst developing and executing formal test plans to ensure the delivery of quality software and to ensure that all information systems products and services meet minimum organization standards and end-user requirements.
  • Assists in executing the planning, implementation, and execution of Clinical Service operations to ensure compliance with regulatory requirements in support of the organization's objectives.
  • Analyzes error reports and resolves error trends, identifies Clinical Services operational risks, and provides solutions to senior managers and senior individual contributors.
  • Analyzes detailed, accurate reports for senior leadership, vendors, and senior clinical strategists to ensure data quality and integrity.
  • Reviews clinical services training needs with resources, budgets, and analysis, ensuring continuous improvement while meeting goals and objectives.
  • Facilitates the clinical services review process with supervisory staff, providing detailed reports to ensure consistent information.
  • Develops basic strategies for delivery on stakeholder and business performance to senior managers, ensuring consistent communication and analysis.
  • Oversees daily workload and clinical services resource management, collecting financial analysis, budget gaps, and pricing consistency to ensure consistent performance at the company's standards.
  • Manages resources to develop the methodology for analyzing and reporting clinical services team performance data to senior managers and stakeholders.
  • Administers strategic review processes ensuring continuous improvement, compliance, and high-performance clinical support protocols and standards are upheld.
 
Requirements:
  • Bachelor's degree preferred or equivalent experience
  • Prior Relevant Work Experience: 0-2 years
  • Basic awareness of problem solving and decision making skills
  • 1 plus years of quality assurances or software testing and
  • 5 plus years Software knowledge (MS Office Suite including Access and Project)
  • Written and Verbal Communication Skills
  • PBM Knowledge
  • Analytical Skills
  • Ability to work in teams or independent
  • Time Management skills
  • Medicare Knowledge
  • Able to thrive in time sensitive situations
  • Verifyable High School Diploma or GED Required
 
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
 
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.

About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/