Sr Project/Program Manager

SPECTRAFOR is seeking a Senior Project/Program Manager to lead program management for a specialty pharmacy network contracting initiative. The role involves coordinating RFI/RFP processes, developing project plans, and managing cross-functional workstreams to ensure operational readiness and effective contract implementation.

Responsibilities:

• Lead program management for specialty pharmacy network contracting initiative, including exclusive and limited network strategies
• Coordinate RFI/RFP processes, vendor engagement, evaluation workflows, and implementation planning
• Develop contracting program timelines, milestone tracking, and risk mitigation plans
• Partner with Legal, Contracting, and Pharmacy leadership to support contract exhibit development, implementation sequencing, and operational readiness
• Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities
• Coordinate cross-functional workstreams across pharmacy, provider contracting, finance, analytics, and external partners
• Establish governance structures, stakeholder reporting cadence, and executive-level status reporting
• Identify operational barriers and drive resolution across departments and vendors
• Develop implementation roadmaps for new pharmacy contracting models, sourcing pathways, and network design changes
• Coordinate implementation readiness activities including claims configuration, operational workflows, reporting, and vendor integration
• Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses
• Support transition planning for legacy programs as new contracting models are introduced
• Develop executive-level dashboards summarizing initiative status, risks, and milestones
• Support development of long-range implementation roadmaps tied to specialty drug unit-cost strategy
• Represents in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors
• Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met
• Develops escalation process to channel issues and concerns to appropriate parties
• Implementation of a major provider contract

Requirements:

• Lead program management for specialty pharmacy network contracting initiative, including exclusive and limited network strategies
• Coordinate RFI/RFP processes, vendor engagement, evaluation workflows, and implementation planning
• Develop contracting program timelines, milestone tracking, and risk mitigation plans
• Partner with Legal, Contracting, and Pharmacy leadership to support contract exhibit development, implementation sequencing, and operational readiness
• Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities
• Coordinate cross-functional workstreams across pharmacy, provider contracting, finance, analytics, and external partners
• Establish governance structures, stakeholder reporting cadence, and executive-level status reporting
• Identify operational barriers and drive resolution across departments and vendors
• Develop implementation roadmaps for new pharmacy contracting models, sourcing pathways, and network design changes
• Coordinate implementation readiness activities including claims configuration, operational workflows, reporting, and vendor integration
• Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses
• Support transition planning for legacy programs as new contracting models are introduced
• Develop executive-level dashboards summarizing initiative status, risks, and milestones
• Support development of long-range implementation roadmaps tied to specialty drug unit-cost strategy
• Represents in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors
• Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met
• Develops escalation process to channel issues and concerns to appropriate parties
• Implementation of a major provider contract
• Provider network exp
• Healthplan
• Contracting exp
• 8-10 years of experience
• Insurance, Healthcare industry specific experience
• Pharmacy or specialty Pharmacy