Clinical Program Operations & Quality Consultant - National Remote

Job 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.
• Aid 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.

Required Qualifications

• 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

Preferred Experience

• Strong background in strategic thinking, problem solving, cross-functional collaboration, time and priority management
• 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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary for this role will range from $91,700 to $163,700 annually based on full-time employment.

We comply with all minimum wage laws as applicable.