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Director, Clinical Systems Operations – Pharmacy
Centene Corporation. Oversee the development, implementation, and operation of medical management information systems and new technology solutions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing clinical systems and applications, overseeing program implementations, and ensuring regulatory compliance within healthcare technology. Proven ability to lead teams, optimize workflows, and enhance system performance across clinical operations.
Highest-signal resume keywords
Clinical Systems Operations LeadershipProject Management ExperienceRegulatory Compliance and ReportingHealthcare Technology Platform ManagementTeam Management and Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Data InformaticsProgram ManagementWorkflow OptimizationData Linking and AnalysisSystem Documentation and ReportingSoftware Defect ManagementFeature ImplementationVendor ManagementUAT (User Acceptance Testing)Clinical Program Evaluation
Soft Skills
LeadershipCommunicationCollaborationProblem-SolvingPerformance Management
Certifications & Qualifications
Bachelor's Degree in NursingBachelor's Degree in Computer ScienceBachelor's Degree in Business AdministrationBachelor's Degree in MIS
Industry Keywords
Healthcare TechnologyPharmacy OperationsManaged Care OperationsClinical Program WorkflowsBusiness Rules
About the role
Key responsibilities & impact- Oversee the development, implementation, and operation of medical management information systems and new technology solutions
- Lead Clinical Systems for the Pharmacy team
- Coordinate 50+ clinical program and initiative workflows across business rules
- Oversee 10,000+ programmed communications and annual volume exceeding 8 million
- Manage systems supporting direct clinical interactions and other clinical program activities
- Provide business rules for clinical data informatics to identify populations and medication-related problems
- Link eligibility, medical, and pharmacy claims data across large data sets
- Manage program triage to pharmacists and technicians based on program type, language, and state board of pharmacy licensure rules
- Oversee system documentation, enhancements, business cases, requirements, regulatory programming and reporting, software defects, feature implementation, vendor activities, integrations, and UAT
- Partner with IT to support system and program needs
- Provide direction to business functions and ensure alignment with standard solutions and processes
- Evaluate system and program performance and implement improvements
- Oversee new clinical system implementations and upgrades
- Oversee investigation and resolution of clinical system issues
- Manage a team of 11, including 4 direct reports
Requirements
What you’ll need- Bachelor's degree in Nursing, Computer Science, Business Administration, MIS or clinical related field or equivalent experience
- 7+ years of applications, project management, or implementation experience
- Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff
- Prior ownership of clinical applications and clinical systems operations leadership, pharmacy or managed care operations, regulatory compliance and reporting, vendor management, healthcare technology platform management, workflow and process optimization, and cross-functional leadership highly preferred
- Able to travel up to 30% of the time
- Support Eastern or Central business hours
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity