Senior Manager, Specialty Client Support

This is a fully remote position, open to applicants in Alaska, +12 more states.

📋 Description

• Act as a subject matter expert in specialty pharmacy, converting concepts related to specialty pharmacy, limited distribution drugs, REMS, site-of-care, access, reimbursement, and network strategies into practical recommendations.

• Engage in client meetings, quarterly business reviews, RFP support, and presentations as the expert on specialty provider networks.

• Provide guidance on specialty network initiatives that align with client objectives, identify lowest-net-cost opportunities, facilitate member access, and support organizational strategies.

• Supervise the processes, procedures, and service standards for specialty client support.

• Lead the resolution of escalated issues in specialty pharmacy regarding network access, reimbursement, formulary, contracts, and member concerns.

• Oversee specialty pharmacy client initiatives from concept development through implementation and continuous improvement.

• Create and maintain project plans, policies, procedures, work instructions, and scalable workflows.

• Assist in the ongoing management of specialty pharmacy contracts.

• Analyze reimbursement pricing structures, network performance, vendor capabilities, market competitiveness, and industry trends.

• Collaborate with internal teams and external partners to enhance network partnerships and pharmacy services.

• Ensure that initiatives and implementation processes comply with corporate, compliance, Medicare, Medicaid, commercial, exchange, and state regulatory requirements.

• Supervise specialty client support staff, including recruitment, performance management, prioritization of workload, and professional growth.

• Implement departmental strategic initiatives and lead continuous improvement projects.

• Participate in and support compliance, people and culture, and learning initiatives.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• A PharmD degree or a Bachelor’s degree from an accredited College of Pharmacy is required.

• An active, unrestricted license as a Registered Pharmacist in the state of residence is required, or the candidate must be able to obtain reciprocity within four months, depending on state laws or client contracts.

• A minimum of 4 years of experience as a licensed Pharmacist is required.

• At least 3 years of experience in leading and mentoring staff is required.

• A preference for candidates with 1 or more years of experience in PBM or Managed Care.

• Required experience with specialty pharmacy drugs, including best practices related to REMS and Limited Distribution Products.

• Previous experience in managing vendors or accounts is preferred.

• Product management, development, or related experience is preferred.

• Clinical experience in specialty pharmacy is strongly preferred.

• Experience in the health, biomedical, or pharmaceutical sectors is preferred.

• Familiarity with CMS, Medicare, and state Medicaid regulations and guidelines is preferred.

• A combination of training, education, and experience equivalent to the employment standard may qualify.

🏝️ Benefits

• Comprehensive benefits package for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program offering up to $750!

• STAR Bonus % (At Risk Maximum): 12.50.