Director, Specialty Networks

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $98.2k - $152.6k / year

⏰ Full Time

🔴 Lead

👔 Director

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CorVel Corporation

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1987

🤝 B2B

⚕️ Healthcare Insurance

☁️ SaaS

B2B • Healthcare Insurance • SaaS

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Lead and manage PBM and ABM products, with full ownership of end-to-end product life cycle, including strategy, development, launch, and ongoing optimization • Develop and maintain a comprehensive product roadmap for PBM, ABM, and emerging specialty network offerings • Serve as the strategic connection point across internal and external stakeholders to ensure product alignment and effective communication • Ensure regulatory and contractual compliance for all specialty network services products • Monitor financial performance, including margins and customer metrics, and drive initiatives to improve profitability and client satisfaction • Support and streamline RFP responses and promote common guidelines for product pricing and margins • Minimize product silos and foster cross-product alignment within the specialty networks portfolio • Promote operational efficiency by reducing duplicative efforts and establishing standardized processes • Drive coordinated specialty networks strategy and enhance cross-product alignment • Additional duties as assigned

🎯 Requirements

• Bachelor’s degree required; advanced clinical or business degree preferred • 7+ years of experience in workers’ compensation, ancillary services, PBM management, or healthcare product strategy • Experience within a TPA, managed care company, PBM, or network management environment strongly preferred • Proven track record leading cross-functional teams in a technology-enabled healthcare organization

🏖️ Benefits

• Medical (HDHP) w/Pharmacy • Dental • Vision • Long Term Disability • Health Savings Account • Flexible Spending Account Options • Life Insurance • Accident Insurance • Critical Illness Insurance • Pre-paid Legal Insurance • Parking and Transit FSA accounts • 401K • ROTH 401K • paid time off