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Role Description

The Sr. Manager, Medical & Specialty Products leads the integrated strategy of high-cost medications across medical and pharmacy benefits in collaboration with our enterprise partners, Archimedes and Lumicera. This position is responsible for coordinating the development, delivery, marketing, and service of related products across the Navitus book of business including Commercial, Exchange, Medicaid, and Medicare.

• Lead the development of our medical data center of excellence as foundational to adjudication, utilization management, clinical programs, reporting and outcomes research.
• Report to the Sr. Director, Innovative Pharmacy Programs and manage a team of associates in support of these initiatives.
• Support business objectives in the delivery of exceptional customer service and excellence in clinical and cost outcomes.

Responsibilities

• Coordinate the development, delivery, marketing, and service of specialty products across benefits with enterprise partners.
• Develop and deliver a medical data center of excellence to support organization initiatives.
• Create department-level objectives and strategies in support of corporate mission, vision, and objectives.
• Manage products and services related to high-cost medications across benefit coverage to meet business objectives.
• Deliver accurate budget projections for revenues and expenses of products and services under management.
• Lead strategic planning with Customer Success on industry, market, and client-specific offerings.
• Survey competitive landscape to provide business intelligence inputs on related programs and services.
• Manage partnerships within enterprise and external vendors.
• Establish and monitor performance standards and productivity targets and guide continuous process improvement initiatives accordingly.
• Create a supportive environment of learning and development for associates to support engagement and business objectives.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Qualifications

• BA/BS required.
• 6 or more years of experience in specialty pharmacy, healthcare, pharmacy benefit management or related industry experience.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance.
• 20 days paid time off.
• 4 weeks paid parental leave.
• 9 paid holidays.
• 401K company match of up to 5% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!