Note: The job is a remote job and is open to candidates in USA. Optum 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, ensuring they are clinically sound and aligned with organizational goals.
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
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
Company Overview
Company H1B Sponsorship