
Sr. Manager, Specialty Client Support (RPh)
Lansing, MIJobSeen todaySeen in employer's feed today
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Job overview
The Sr. Manager, Specialty Client Support provides specialty pharmacy expertise, PBM operational insight, and client-facing guidance for specialty pharmacy services and network strategy. The role oversees client support, issue management, reporting, vendor coordination, and network initiatives, while leading and mentoring staff. It translates complex network concepts into client recommendations and partners across teams to support client satisfaction, member access, compliance, and business objectives.
Skills & qualifications
Skills
Full job description
Overview Navitus Health Solutions is seeking a Sr. Manager, Specialty Network Contracting to join our team! The Sr. Manager, Specialty Client Support is responsible for providing specialty pharmacy clinical expertise, PBM operational insight, and client-facing guidance for Navitus specialty pharmacy services, specialty network strategy, and related network pharmacy contracting activities. This role oversees day-to-day clinical specialty client support, issue management, reporting, vendor coordination, and network strategy to ensure specialty products, client initiatives, and applicable network contracting activities are delivered on schedule, within scope, and in alignment with client, member, regulatory, and Navitus business needs. The role also provides leadership, training, and mentorship to specialty client support staff. The Sr. Manager, Specialty Client Support requires strategic thinking, disciplined project management, and a comprehensive understanding of specialty pharmacy, PBM operations, pharmacy benefit design, claims processing concepts, network reimbursement, regulatory requirements, and lowest-net-cost strategies. Success in this role requires the ability to translate complex specialty network concepts into clear client recommendations, partner cross-functionally, and advance scalable solutions that support client satisfaction, member access, compliance, and corporate strategic objectives. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Serve as a specialty pharmacy subject matter expert by translating complex specialty pharmacy, limited distribution drug, REMS, site-of-care, access, reimbursement, and related network concepts into clear, actionable recommendations. Participate in client meetings, quarterly business reviews, RFP support, and presentations as the specialty provider network expert through communicating network strategy and optimization opportunities. Advise on specialty network initiatives that support client goals, lowest-net-cost opportunities, member access, and organizational strategy. Oversee specialty client support processes, procedures, and service standards to ensure timely, accurate, and consultative responses to cross-functional inquiries involving access, claims, pricing, network configuration, and service concerns. Lead resolution of specialty pharmacy escalations by collaborating with internal teams to address network access, reimbursement, formulary, contract, and member issues. Manage specialty pharmacy client initiatives from ideation through implementation and ongoing enhancement, applying project management discipline to scope, resources, timelines, risks, dependencies, and stakeholder communications. Develop and maintain project plans, policies, procedures, work instructions, and scalable workflows that support client customization, operational consistency, regulatory compliance, and growth within specialty pharmacy service offerings. Support ongoing management of specialty pharmacy contracts to ensure contractual obligations and client-specific requirements are understood and met. Evaluate reimbursement pricing structures, network performance, vendor capabilities, market competitiveness, and industry developments to proactively recommend specialty network solutions. Collaborate with internal teams and external partners to expand network partnerships, refine specialty positioning, and support pharmacy services enhancements. Ensure all specialty pharmacy initiatives, client support activities, and implementati
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