Recent Searches

You haven't searched anything yet.

22 Clinical Operations Manager Jobs in East Syracuse, NY

SET JOB ALERT
Details...
KPH Healthcare Services
East Syracuse, NY | Full Time
6 Months Ago
Dival Safety Equipment
East Syracuse, NY | Full Time
$78k-107k (estimate)
Just Posted
The Sherwin-Williams Company
East Syracuse, NY | Full Time
$105k-152k (estimate)
6 Days Ago
Byrne Dairy & Deli
East Syracuse, NY | Full Time
$97k-120k (estimate)
10 Months Ago
Saab
East Syracuse, NY | Full Time
$106k-133k (estimate)
3 Months Ago
Amazon
East Syracuse, NY | Full Time
$118k-145k (estimate)
5 Months Ago
MACNY's Job Board
East Syracuse, NY | Full Time
$73k-96k (estimate)
4 Months Ago
Staples Retail
East Syracuse, NY | Full Time
$31k-43k (estimate)
1 Month Ago
SEMEX
East Syracuse, NY | Full Time
$167k-217k (estimate)
1 Month Ago
Dival Safety Equipment
East Syracuse, NY | Full Time
$58k-78k (estimate)
2 Months Ago
Thruway Authority
East Syracuse, NY | Full Time
$34k-43k (estimate)
7 Months Ago
Staples Stores
East Syracuse, NY | Full Time
$28k-40k (estimate)
11 Months Ago
MACNY's Job Board
East Syracuse, NY | Full Time
$133k-185k (estimate)
10 Months Ago
MACNY's Job Board
East Syracuse, NY | Full Time
$133k-164k (estimate)
1 Month Ago
MACNY's Job Board
East Syracuse, NY | Full Time
$73k-88k (estimate)
4 Months Ago
Clinical Operations Manager
KPH Healthcare Services East Syracuse, NY
Full Time | Retail 6 Months Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

KPH Healthcare Services is Hiring a Clinical Operations Manager Near East Syracuse, NY

Overview

Scope of Responsibilities: Relies on experience and professional judgment to plan and accomplish assigned tasks and goals that meet the clinical needs of ProAct clients and members, including the development, execution, and growth of cost avoidance measures. Responsible for the growth and direction of clinical operations for PBM clients. Manage the prior authorization process to ensure consistency, compliance, and efficiency in process.

Job Summary: Responsible for management of clinical operations including the growth and development of clinical team and clinical offerings.

Responsibilities

  • Responsible for managing the prior authorization and appeals process for ProAct members, including administrative responsibilities related to reporting and invoicing
  • Responsible for supporting clinical implementation for new ProAct clients
  • Responsible for the development, execution, growth, and reporting on cost saving programs for clients based on the review of utilization data and market trends
  • Programs include utilization management, mail order/specialty utilization, generic conversion (therapeutic alternatives program), formulary compliance, diabetes/pulmonary disease management, and clinical optimization
  • Responsible for supporting other ProAct departments and/or team members as a clinical resource, this includes but is not limited to benefit operations, marketing, sales, account management, and proposal departments
  • Assist with client review meetings, performing a review of drug utilization and analysis of claims and trends, articulating what ProAct is doing clinically to support the client in managing their trends
  • Responsible for keeping current with changes and trends in the industry and ensuring the communication of this information with member facing teams, partners, vendors, and clients as needed
  • Responsible for managing, leading, and holding accountable, the team of clinical pharmacist(s), clinical care coordinator, clinical services specialists, and clerks
  • Assist in summarizing and submitting monthly formulary and specialty change updates, coordinating bi-annual client and member communication of changes, and updating member facing marketing material associated with changes
  • Ensure compliance to policies and procedures falling under the scope of clinical practice including but not limited to state specific utilization review agent requirements
  • Responsible for completing all mandatory and regulatory training programs
  • Perform other duties as assigned

Qualifications

Educational Requirements:

  • Preferred
  • Pharmacy Degree from an accredited College of Pharmacy
  • Nursing Degree from accredited College of Nursing
  • BS degree in another healthcare-related field

Experience Preferred:

  • Preferred:
    • 3-5 Years of experience in a managed care setting
    • 2-3 Years of experience in clinical case management

Special Conditions of Employment:

  • Drug test
  • Initial and continuous exclusion and sanction/disciplinary monitoring
  • Any and all additional eligibility requirements based on the specific position

Job Summary

JOB TYPE

Full Time

INDUSTRY

Retail

POST DATE

09/22/2022

EXPIRATION DATE

12/09/2022

WEBSITE

kphhealthcareservices.com

HEADQUARTERS

LAKE PLACID, NY

SIZE

3,000 - 7,500

FOUNDED

2008

CEO

RICHARD CUMMINGS

REVENUE

$1B - $3B

INDUSTRY

Ancillary Healthcare

Related Companies
About KPH Healthcare Services

KPH Healthcare Services, Inc. is a national provider of pharmaceutical and health care services with complementary businesses in both the retail and commercial segments of the industry. Our company is comprised of four divisions: Kinney Drugs, a chain of 98 full-service drug stores located throughout New York and Vermont; HealthDirect Institutional Pharmacy Services, that services long-term care and alternative care needs; ProAct, Inc., a pharmacy benefit management company with sales offices throughout the country and a mail order pharmacy; and Noble Health Services, a specialty pharmacy that... dispenses medications used to treat complex and chronic diseases. More
Show less

Show more
Show more

KPH Healthcare Services
Part Time
$31k-39k (estimate)
Just Posted
KPH Healthcare Services
Full Time
$26k-33k (estimate)
Just Posted
KPH Healthcare Services
Full Time
$63k-81k (estimate)
Just Posted

The job skills required for Clinical Operations Manager include Analysis, Disease Management, Clinical Operations, Case Management, Clinical Services, etc. Having related job skills and expertise will give you an advantage when applying to be a Clinical Operations Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Clinical Operations Manager. Select any job title you are interested in and start to search job requirements.

For the skill of  Analysis
Robert Half
Remote | Other
$72k-90k (estimate)
Just Posted
For the skill of  Disease Management
Elevance Health
Full Time
$64k-83k (estimate)
6 Days Ago
For the skill of  Clinical Operations
CVPH Medical Center
Full Time
$62k-81k (estimate)
7 Months Ago
Show more

The following is the career advancement route for Clinical Operations Manager positions, which can be used as a reference in future career path planning. As a Clinical Operations Manager, it can be promoted into senior positions as a House Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Clinical Operations Manager. You can explore the career advancement for a Clinical Operations Manager below and select your interested title to get hiring information.

Allied Reliability
Other
$117k-146k (estimate)
2 Weeks Ago