Director Specialty Networks Product

Role Overview

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

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

• 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.

• 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.

• 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 with in 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.

Cor Vel 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.

Cor Vel is an Equal Opportunity Employer, drug‑free workplace, and complies with ADA regulations as applicable. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.