Overview
Remote
Depends on Experience
Accepts corp to corp applications
Contract - W2
Contract - 6 Month(s)
No Travel Required
Skills
Product Owner
healthcare
PBM
Pharmacy
Business analysis
Job Details
Vega Consulting Solutions, Inc. is hiring! We are staffing a Pharmacy (Healthcare) Process Manager for Network Oversite (or Process Manager) for a 18 month Contract to hire opportunity with our direct client. This position is 100% remote based.
- This role supports the oversight and optimization of pharmacy network operations.
- Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.
- Support credentialing, re-contracting, and termination processes across all network pharmacy providers.
- Ensure alignment of network operations with contractual, regulatory, and service-level standards.
- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
- Process Management/Network Oversite and Process Manager
- Supports the oversight and optimization of pharmacy network operations.
- Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.
- Support credentialing, re-contracting, and termination processes across all network pharmacy providers.
- Ensure alignment of network operations with contractual, regulatory, and service-level standards.
- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
Top 5 Mandatory Skills:
- Network performance analysis – Monitoring access, disruptions, trends, and service quality.
- 2. Provider relationship management – Engaging with pharmacy networks and resolving escalations.
- 3. Data-driven decision making – Using performance data to guide contracting, retention, and outreach.
- 4. Operational optimization – Driving improvements in network access, satisfaction, and cost efficiency.
- 5. Cross-functional collaboration – Coordinating with stakeholders across business, operations, and regulatory teams.
If your back ground matches the above skill set and you are ready to take the next step in your career, select Apply Now and a Vega Staffing Specialist will reach out to you.
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