CorVel Corporation
Director – Specialty Networks Product
Join CorVel Corporation as the Director of Specialty Networks Product in our Network Services division. This strategic leadership role oversees the full product life cycle for Pharmacy Benefit Management (PBM) and Ancillary Benefit Management (ABM) offerings, driving innovation and growth for future specialty network services products.
This is a remote role. Candidates residing in Eastern or Central time zones are preferred.
Key Responsibilities
Lead PBM and ABM product development, owning end‑to‑end lifecycle from strategy to launch and continuous optimization.
Develop a comprehensive roadmap for PBM, ABM, and emerging specialty network offerings.
Serve as the strategic connection point across internal and external stakeholders to ensure alignment and effective communication.
Ensure regulatory and contractual compliance for all specialty network services products.
Monitor financial performance, including margins and customer metrics, and lead profitability‑improving initiatives.
Support and streamline RFP responses, promoting 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 Pay range: $95,950 – $149,130 (market‑based). Salary ranges may vary based on location, skills, experience, and market conditions.
About CorVel CorVel is a certified Great Place to Work® company, founded in 1987 and publicly traded on the NASDAQ since 1991. We provide industry‑leading risk management solutions across workers’ compensation, auto, health, and disability management industries. Over 4,000 employees nationwide embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE‑IT!).
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.
Equal Opportunity Employer CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable.
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This is a remote role. Candidates residing in Eastern or Central time zones are preferred.
Key Responsibilities
Lead PBM and ABM product development, owning end‑to‑end lifecycle from strategy to launch and continuous optimization.
Develop a comprehensive roadmap for PBM, ABM, and emerging specialty network offerings.
Serve as the strategic connection point across internal and external stakeholders to ensure alignment and effective communication.
Ensure regulatory and contractual compliance for all specialty network services products.
Monitor financial performance, including margins and customer metrics, and lead profitability‑improving initiatives.
Support and streamline RFP responses, promoting 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 Pay range: $95,950 – $149,130 (market‑based). Salary ranges may vary based on location, skills, experience, and market conditions.
About CorVel CorVel is a certified Great Place to Work® company, founded in 1987 and publicly traded on the NASDAQ since 1991. We provide industry‑leading risk management solutions across workers’ compensation, auto, health, and disability management industries. Over 4,000 employees nationwide embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE‑IT!).
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.
Equal Opportunity Employer CorVel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable.
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