Director of Patient Access

🔥 28 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $122k - $150k / year

⏰ Full Time

🔴 Lead

👔 Director

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Gifthealth

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2020

🏥 Healthcare

📦 Logistics

💼 Consulting

💰 $40M Private Equity Round - GiftHealth on 2023-04

Healthcare • Logistics • Consulting

Gifthealth is a technology-enabled patient access and prescription fulfillment company that connects patients, prescribers, pharmacies, and pharmaceutical manufacturers through a unified digital platform. It streamlines enrollment, electronic benefits verification, e-prior authorization, and payment/affordability support while managing pharmacy fulfillment and patient support services. The platform also provides manufacturers with actionable data and insights on patient journeys and brand performance, driving faster, more reliable medication access.

📋 Description

• Own and continuously strengthen the prior authorization operating system between written prescriptions and patients starting therapy • Own PA turnaround time, queue health, aging targets, performance monitoring, and corrective action • Serve as primary FRM point of contact and own the FRM partnership model • Build relationships with Field Reimbursement Manager teams across manufacturer partners • Troubleshoot high-priority and systemic prior authorization issues, including payer rejections, data mismatches, and missing documentation • Own complex escalations and coordinate issues across Client Success, Pharmacy Operations, Quality, and manufacturer partners • Review PA data and performance metrics, including approval and denial rates, turnaround time, aging PAs, denial reason codes, and quality or rework indicators • Maintain dashboards and management views for queue health, exceptions, and performance risks • Drive evidence-based process improvements and measurable pilots to reduce time-to-therapy and rework • Partner on workflow and automation improvements with visible exceptions and human-rescue paths • Lead the multi-tiered Patient Access team, including Team Leads/Supervisors, FRM Liaisons, and PA Specialists/Coordinators • Develop team leads and supervisors as operational owners • Build hiring, onboarding, capacity planning, performance management, career pathing, cross-training, and skill development processes • Partner with the Director of Patient Experience, Pharmacy Operations, Intake & Automation, Quality, and Client Success • Represent patient access performance, risks, friction, and improvement work in leadership updates, client reviews, and program launches

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and/or experience (Required) • 5+ years in prior authorization, patient access, or reimbursement within specialty pharmacy, PBM, or manufacturer hub/FRM environments • People leadership experience hiring, coaching, and managing performance through team leads or supervisors in a high-volume operation • Direct experience managing or partnering closely with Field Reimbursement Manager (FRM) teams • Strong analytical skills; comfortable working in PA, TAT, aging, and performance data and turning it into action • Working knowledge of the payer and PBM landscape, prior authorization requirements, and specialty medication access barriers • Demonstrated ability to improve operational workflows using data, frontline input, and cross-functional partnership • Experience in a direct-to-patient (DTP) or specialty dispensing pharmacy environment (Nice-to-Have) • Familiarity with hub services, bridge programs, or manufacturer-sponsored patient access programs (Nice-to-Have) • Experience building or improving PA workflows, SOPs, performance management routines, or automation-enabled processes from the ground up (Nice-to-Have)

🏖️ Benefits

• Remote work arrangement • Full-time employment • Availability or flexibility for escalations • Equal Opportunity Employer committed to diversity and inclusion

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