Senior Manager, HUB Clinical Care

AscellaHealth•Berwyn, PA

33d•Hybrid

About The Position

We're seeking a Senior Manager, HUB Clinical Care to join our dynamic team at AscellaHealth, where your expertise will directly contribute to improving health outcomes for patients with complex, chronic conditions and rare diseases. This role offers the opportunity to lead a high-performing team and champion a culture of quality, collaboration, and continuous improvement. They will work closely with senior leadership to define market priorities, drive strategic initiatives, and ensure every patient receives the highest quality of care. This is a hybrid role based at our AscellaHealth headquarters in Berwyn, PA that requires in-office work three (3) days per week. Apply now and join AscellaHealth - Where Innovation Meets Patient Care! What this position will focus on Leading and inspiring a multidisciplinary clinical team – fostering an environment where quality care and outstanding patient experiences are the standard. Partnering with leadership – set market priorities and develop a cohesive, interdisciplinary approach to patient care. Driving clinical performance and organizational growth – monitoring individual clinician outcomes, owning KPIs and quality assurance metrics, and analyzing patient care trends and operational data — all while contributing to strategic direction through initiatives that support both short- and long-term company objectives.

Requirements

Proven ability to lead large, complex contract negotiations, manage vendor agreements, and secure competitive terms and discounts in alignment with organizational goals
Proven ability to manage multi-channel pharmacy networks with measurable outcomes in costs, access, and margin
Excellent interpersonal, communication, and presentation skills with the ability to build and maintain productive relationships across internal stakeholders and external vendor partners
Proficient in using contract management, pricing, and data analysis systems; ability to manage multiple projects, meet deadlines, and maintain attention to detail in a fast-paced environment
Deep understanding of pharmacy economics, pharmacy reimbursement methodologies (AWP based, MAC, ASP) claim adjudication and network operations
Strong ability to interpret financial, operational, and claims data to identify trends, assess vendor performance, and support strategic planning
Effective in identifying root causes of vendor or operational issues, developing solutions, and resolving disputes in a timely and professional manner
Excellent written and verbal communication skills; able to collaborate effectively across departments, present findings to leadership, and represent the organization externally
Highly organized with the ability to manage multiple priorities, track deliverables, and meet deadlines in a dynamic environment
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint), contract management platforms, and data analytics tools used for vendor and performance management
Strong attention to detail and the ability to be a creative self-starter and team player
Ability to participate in and facilitate group meetings
Must be able to effectively multitask and work in a fast-paced environment, with the ability to prioritize competing tasks
Excellent analytical skills and the ability to provide solutions to complex problems
Ability to be highly transparent, ethical, and driven
Willingness to work a flexible schedule
A Bachelor’s degree in Nursing, Healthcare Business, or related field is required.
Active licensure as Pharmacist, RN, Physician Assistant, Nurse Practitioner, or other clinically related licensure.
2+ years of experience in clinical management, managed care contracting, or related experience within the healthcare or payer industry.
2+ years of experience with managing direct reports.

Nice To Haves

Strong familiarity with regulatory standards for pharmacy networks – URAC, ACHC, 340B, state pharmacy requirements is helpful

Responsibilities

Lead and support a dedicated team that is focused on delivering exceptional, compassionate patient care and responsible for coordinating the transition of prescriptions from hospital settings to the appropriate dispensing pharmacy to ensure patients receive therapy in a home or ambulatory setting without interruption.
Promote a culture centered on empathy, accountability, and advocacy for patients with complex and chronic conditions.
Identify and resolve access barriers to ensure patients receive therapy in the most appropriate and convenient site of care.
Monitor care transition timelines, prescription routing accuracy, and quality standards to safeguard patient safety and satisfaction.
Drive performance through monitoring key metrics, improving workflows, and ensuring timely access to therapy.
Serve as a primary liaison between clients and pharmacy operations.
Oversee specialty pharmacy operations to ensure timely therapy access, medication adherence, financial navigation, and coordinated care for patients with complex conditions.
Lead benefit investigations, prior authorizations, and financial assistance navigation to remove barriers to therapy access.
Coordinate with pharmacists, providers, and payers to ensure seamless communication, documentation accuracy, and continuity of care.
Ensure team members provide clear, supportive communication tailored to individual patient needs.
Serve as an escalation point for complex patient situations to ensure timely and appropriate resolution.
Ensure all patient interactions comply with HIPAA and specialty pharmacy regulatory standards.
Perform all responsibilities efficiently and safely.
Represent AscellaHealth in a manner that conveys professionalism, upholding confidentiality, courtesy, fairness, personal integrity, and respect for others.
Perform other related duties as assigned or as necessary; remains flexible and adaptable in work schedules and work assignments as defined by departmental and organization needs.