Clinical Policy Operations Professional 2

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The Clinical Policy Operations Professional 2 provides operational support to clinical pharmacists for the implementation, maintenance, submission, and ongoing management of clinical policies, drug lists, and benefit requirements. This role focuses on accurately translating approved clinical strategies into operational systems and tools, requiring strong attention to detail, independent problem solving, and consistent execution within established processes.
The Clinical Policy Operations Professional 2 ensures accuracy and compliance for utilization management (UM) criteria within the Clinical Policy System, operational guidance documentation, and the submission and maintenance of policies provided to external accreditation and review bodies. They collaborate with healthcare professionals, pharmacists, and business stakeholders to operationalize clinical policy strategies and perform quality analysis and reporting to ensure effective oper...