CLINICAL OPERATIONS SPECIALIST
Make your next big career move by applying as KMC Solutions' next CLINICAL OPERATIONS SPECIALIST
The Clinical Operations Specialist supports the CPM organization operationally in order to allow the client facing CPM to become more strategic and CPM Analyst to focus on clinical tasks. The primary responsibility of the Clinical Operations Specialist will be to coordinate various operational/technical duties.
On top of your salary, here are the exciting benefits you can look forward to:
- Health Insurance/HMO
- Enjoy unlimited MadMax Coffee
- Diverse learning & growth opportunities
- Accessible Cloud HR platform (Sprout)
- Above standard leaves
The main responsibilities of a CLINICAL OPERATIONS SPECIALIST include:
- Assists with formulary, prior authorization guideline and standard print operational/analytic support needs, working with assigned client facing CPMs and CPM analysts. Serves as technical expert within this process and a resource for deliverable assistance;
- Supports various disruption reporting as needed to support CPMs;
- Provides skillful data analysis and consultation as needed using tools such as Microsoft Excel / Access, SQL, Visual Basic, Tableau and proprietary database tools;
- Liaison to Benefits department as required;
- Understand client benefit structure and coding. Requires use of MedAccess at intermediate or expert level.
- Develops, modifies, and runs reports to facilitate CPM data analysis for a variety of purposes;
- Develops expertise with Cognos and have ability to consult with CPMs and assists with report development to support client consultation and run reports as needed for CPM;
- Assists with client/internal presentation preparations under the direction of a CPM;
- Collaborates to improve processes internally to streamline work and outcomes; assist with benefit needs as directed by CPM Leads;
- Assists CPMs with formatting of various UM documents, as directed by CPMs;
- Online literature searches as needed by CPMs;
- Pull quarterly UM reports to assist CPMs;
To apply, you must be an expert on the following requirements:
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Associates degree minimum; 3-5 years experience and/or education in product support, project coordination, and/or business analysis in health care or related environment; or equivalent combination of education and experience.
It will also be favorable if you are knowledgeable in:
Computer Skills
To perform this job successfully, an individual should have proficient knowledge of MS Office Suite, including Excel and Access and established success in proprietary systems.
Certificates, Licenses, Registrations
Pharmacy Technician license in good standing is desired, but not required.
The successful candidate must submit the following pre-employment requirements
- Scanned copy of valid NBI Clearance
- Accomplished Medical or PEME Slip (covered by KMC)
- 2x2 & Half body picture with white background
- Proof of government numbers (TIN, SSS, Pag-ibig, & Philhealth)
- Photocopy of 2 valid IDs – front & back (government-issued)
- Clear copy of your Birth Certificate (PSA or NSO)
- Accomplished HR Forms & Promissory Note (will be provided by KMC’s Onboarding Team
Click here to view the complete list of KMC’s pre-employment requirements.
KMC Careers
If you're a rockstar at what you do and looking to be a part of our amazing story, we want to hear from you!
We offer attractive salaries and benefits plus you get to work in some of the Philippines' best flexible workspaces. Our employees also get to enjoy exclusive discounts, rewards and freebies, and invites to our monthly events. We are always recruiting for roles in IT & Development, Marketing, Business Administration, HR & Recruitment and Legal & Finance Roles.
KMC provides quality employment opportunities for job-seekers looking for a career that is both challenging and fulfilling. We are also committed to providing equal opportunities at every selection stage. We do not discriminate due to age, gender, sexual orientation, ethnicity, nationality, and religion.
Work with Us. Grow with Us.
KMC Solutions offers a variety of career opportunities in Metro Manila, Cebu and Clark & Iloilo. We are always looking for talented and enthusiastic individuals who are ready to make their next big career move.
Our Culture
At KMC, we foster an inclusive and positive workplace for all. We push our members to succeed in everything they do through our collaborative work environment. We encourage our community to work hard and reach their full potential while delivering results that matter for our members and you as professionals.
We host amazing and quality events and implement people-centric policies to work flexibly. We ensure that everyone in our expansive network is engaged, from our internal employees and those who work on behalf our offshore partners.
Life within KMC: Work Hard Party Harder
At KMC, we work hard and we are committed to putting our best foot forward in everything we do. Everyone is encouraged to be an individual while also working for the collective good of the KMC Community. We believe mistakes are opportunities and that you should not present a solution without a problem.
We also know when hard work deserves to be recognized so we reward our employees with monthly parties, free trips and much much more!
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