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Jobs(31,341)/Support Specialist Role(132)/leap (12) - Clinical Outcomes Specialist
leap

leap - Clinical Outcomes Specialist

Remote - US (Remote)1mo ago
RemoteMidNAPharmaceuticalsMental HealthSupport SpecialistReportingDocumentationClinical DocumentationOutreachProcess OptimizationQuality Assurance

Requirements

• 3+ years of experience in specialty pharmacy, managed care, specialty therapeutics, home infusion, pharmaceutical outcomes, or specialty benefit management. • Direct experience with specialty disease states and specialty medication management. • Demonstrated experience contributing to or owning a clinical outcomes, adherence, quality, or safety measurement effort. • Strong analytical capabilities, with the ability to define metrics, identify data sources, validate methodologies, and independently develop measurement approaches. • Experience interpreting and quality-assuring structured clinical data from an EHR, care management, or pharmacy system. • Ability to operate effectively in ambiguous environments and build process from first principles. • Strong written and verbal communication skills, with the ability to explain methodologies and findings to both clinical and non-clinical audiences. • PharmD, MPH, RN, or other relevant clinical or population health training. • Experience in home infusion or alternate site-of-care models. • Familiarity with specialty pharmacy and infusion quality benchmarks, including NHIA, URAC, and related quality frameworks. • Experience implementing or analyzing validated patient-reported outcome measures. • Population health analytics or healthcare outcomes experience. • Experience supporting payer, employer, or pharmaceutical manufacturer reporting. • Familiarity with healthcare analytics and reporting tools. • Working knowledge of biostatistical principles relevant to healthcare outcomes measurement. • At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment. If that excites you, we’d love to hear from you.

Responsibilities

• Outcomes & Safety Metric Framework • Build and maintain Leap's outcomes framework across adherence, safety, patient-reported outcomes, and disease-specific clinical measures. • Define metric definitions, denominator and numerator logic, inclusion criteria, calculation methods, and validity standards. • Align outcomes methodologies with recognized specialty pharmacy, home infusion, and quality measurement standards where appropriate (e.g., NHIA quality measures and other industry benchmarks). • Maintain clear documentation of metric definitions, methodology updates, and the rationale for changes over time. • Safety Surveillance & Quality Monitoring • Define and stand up Leap's safety event taxonomy and reporting approach across infusion reactions, treatment interruptions, escalation events, near-misses, and other clinically relevant incidents. • Own the clinical review and quality assurance process supporting accurate safety event capture from clinical documentation and operational workflows. • Produce recurring safety trend reports for clinical leadership, including root-cause themes, emerging risks, and recommendations for process improvement. • Adherence and Persistence Monitoring • Build patient-level adherence monitoring across therapies, conditions, and populations. • Define infusion-specific adherence methodology — persistence, schedule conformance, dose fidelity, treatment completion, and tolerability — rather than retail-pharmacy measures like PDC or MPR, which weren't built for HCP-administered infusion therapy. • Build a risk-flagging process that identifies patients at elevated risk for treatment interruption or discontinuation, incorporating signals such as missed infusions, delayed authorizations, site-of-care disruptions, and medication access barriers. • Partner with care teams to operationalize proactive outreach triggers for at-risk patients. • Patient-Reported Outcomes & Clinical Evidence Generation • Select, adapt, and implement validated patient-reported outcome instruments appropriate for specialty infusion populations where clinically appropriate. • Partner with Engineering and Clinical Operations to implement survey delivery workflows and structured response capture. • Analyze and interpret outcomes data to generate clinically defensible evidence of program impact. • Produce outcomes reporting and evidence packages supporting employer reporting, client QBRs, payer discussions, and manufacturer partnerships.

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