Senior Director – Access Therapy Initiation and Care Coordination

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee comprehensive patient access, therapy initiation, and care coordination operations within Pharmacy Services.

• Set and pursue operational, quality, service, and financial goals.

• Create scalable operating models, workflows, and capabilities that promote growth and ongoing improvement.

• Spearhead transformation initiatives focused on process optimization, technology enablement, workforce effectiveness, and service innovation.

• Formulate strategies to enhance patient access, eliminate therapy barriers, and expedite speed-to-therapy.

• Coordinate patient onboarding, therapy readiness, and care transitions with clinical, pharmacy, nursing, and operational leaders.

• Advance site-of-care and access strategies that support patient outcomes and meet organizational objectives.

• Assist in growth initiatives, new client implementations, and service line expansions.

• Analyze market trends, reimbursement dynamics, payer policies, and emerging opportunities.

• Streamline technologies, automation, and business processes.

• Collaborate with payers, pharmaceutical manufacturers, health systems, and patient support organizations.

• Direct reimbursement, authorization, and market access operations.

• Enhance approval outcomes, minimize denials, manage reimbursement risks, and strengthen payer engagement.

• Partner with Revenue Cycle, Finance, Contracting, and Clinical leaders to optimize reimbursement processes.

• Take ownership of operational and financial performance, including productivity, service levels, labor efficiency, reimbursement outcomes, quality, and profitability.

• Lead budget development, workforce planning, resource allocation, and organizational prioritization.

• Utilize analytics and performance insights to inform decisions and achieve business objectives.

• Report performance, strategic initiatives, and operational results to executive leadership.

• Ensure compliance with regulatory, accreditation, payer, and organizational standards.

• Establish governance that supports audit readiness, reimbursement integrity, quality outcomes, and consistent execution.

• Build and cultivate a high-performing leadership team through coaching, succession planning, and capability development.

• Promote accountability, collaboration, innovation, and continuous improvement.

• Manage change, workforce planning, and organizational development.

⛳️ Requirements

• High School Diploma or GED required.

• 8+ years of progressive experience in healthcare operations leadership.

• 6+ years of experience managing large-scale patient access, specialty pharmacy, healthcare operations, revenue cycle, reimbursement, market access, or care coordination organizations.

• Proven track record in leading multi-functional teams across patient onboarding, reimbursement, authorization, financial assistance, care coordination, or similar operational areas.

• Experience in guiding large teams through operational transformation, growth, and process optimization initiatives.

• Strong understanding of payer processes, insurance verification, benefit investigations, prior authorizations, reimbursement programs, market access dynamics, and patient access operations.

• Proven capability to influence and collaborate with executive leadership teams.

• Preferred: Bachelor's degree in Healthcare Administration, Business, Pharmacy, Nursing, or a related field.

• Preferred: Master's degree, such as MBA, MHA, MPH, or a related discipline.

• Preferred experience in specialty pharmacy, home infusion, ambulatory care, patient access, reimbursement, market access, or patient support services.

• Preferred experience in supporting health system partnerships and large-scale operational implementations.

• Preferred experience in collaborating with payer relations, contracting, revenue cycle, pharmaceutical manufacturers, or patient support program partners.

• If working remotely, a cable broadband or fiber optic internet service with a minimum speed of 10Mbps download/5Mbps upload is required.

🏝️ Benefits

• Remote work may be available on an occasional or permanent basis, contingent upon having cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload.

• Tobacco-free policy in place.

• Reasonable accommodation support provided for the online application process.