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