Director Specialty Networks Product - Remote Eligible

Director Specialty Networks Product

The Director, Specialty Networks Product is a strategic leadership role within CorVel's Network Services division. This position is responsible for overseeing the full product life cycle of the Pharmacy Benefit Management (PBM) and Ancillary Benefit Management (ABM) offerings, as well as future specialty network services products. The Director will drive the development, execution, and growth of these products, ensuring alignment with CorVel's business objectives and delivering exceptional value to clients.

This is a remote role. Candidate residing in Eastern or Central time zones is preferred.

Key Responsibilities:

• 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

Knowledge, Skills & Abilities:

• Strong knowledge of workers' compensation ancillary services, PBM operations, medical cost containment, and regulatory frameworks
• Deep familiarity with workflows such as diagnostics scheduling, DME fulfillment, home health coordination, and transportation/translation management
• Understanding of retail, mail-order, and clinical pharmacy solutions including DUR, formulary management, opioid risk mitigation, and pharmacy network contracting
• Strong analytical acumen, with the ability to translate complex data into actionable insights and product decisions
• Exceptional communication, collaboration, and stakeholder-management skills

Education & Experience:

• 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

Pay Range: $95,950 - $149,130

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

A comprehensive benefits package is available for full-time regular employees and includes 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, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.