Senior Director – Access Therapy Initiation and Care Coordination

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

📋 Description

• Deliver strategic leadership for CarepathRx's operations concerning patient access and therapy initiation across specialty pharmacy, infusion, enteral, and emerging service lines.

• Manage the complete patient access continuum to enhance speed-to-therapy, reimbursement performance, compliance, and customer satisfaction.

• Set strategic direction, promote operational excellence, enhance organizational capabilities, and spearhead transformational initiatives.

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

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

• Create scalable operating models, workflows, and capabilities that support growth and continuous improvement.

• Lead initiatives focused on process optimization, technology enablement, workforce efficiency, 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.

• Promote site-of-care and access strategies that support patient outcomes and align with organizational objectives.

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

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

• Optimize technologies, automation, and business processes to improve scalability and performance.

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

• Manage reimbursement, authorization, and market access operations.

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

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

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

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

• Utilize analytics and performance insights to inform decisions and drive continuous improvement.

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

• Ensure adherence to regulatory requirements, accreditation standards, payer expectations, and organizational policies.

• Establish governance practices that support audit readiness, reimbursement integrity, quality outcomes, and operational execution.

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

• Encourage accountability, collaboration, innovation, and a culture of continuous improvement.

• Lead change management, workforce planning, and organizational development initiatives.

⛳️ Requirements

• High School Diploma or GED.

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

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

• Proven experience managing multi-functional teams in areas such as patient onboarding, reimbursement, authorization, financial assistance, or care coordination.

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

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

• Demonstrated capability to influence and collaborate across 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 collaborating with payer relations, contracting, revenue cycle, pharmaceutical manufacturers, or patient support program partners.

• For remote work, internet connection must be via cable broadband or fiber optic service with a minimum speed of 10Mbps download/5Mbps upload.

🏝️ Benefits

• Remote work arrangement / work from home.

• Cable broadband or fiber optic internet service with minimum speeds of 10Mbps download/5Mbps upload required for home working.