Director, Patient Support Center – Prior Authorization & Financial Assistance

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

Healthcare Insurance • Pharmaceuticals • SaaS

Shields Health Solutions is a company that specializes in providing integrated specialty pharmacy solutions. They focus on eliminating disruptions in patient care by offering a comprehensive model that bridges the gap between patients and the specialty medications they need. Shields Health Solutions partners with healthcare providers and drug manufacturers to optimize the impact of specialty pharmacy services. Their approach leverages a clinical model, expert care teams, and a proprietary technology platform to improve patient access to specialty drugs, while reducing the overall cost of care. Shields Health Solutions aims to enhance patient experiences and health outcomes through their innovative solutions in specialty pharmacy integration.

📋 Description

• Lead & Inspire High-Performing Teams – Provide strategic leadership to a large team of Patient Support Advocates and/or Patient Engagement Specialists • Develop & Elevate Talent – Invest in the growth and career development of employees • Drive Operational Excellence at Scale – Oversee large-scale healthcare operations • Thrive in a High-Growth, Fast-Paced Environment – Play a key role in scaling operations within a rapidly expanding organization • Make a Meaningful Impact – Directly contribute to improving the patient experience • Oversee daily operations related to Specialty Pharmacy prior authorization and patient financial assistant operations • Develop and implement scalable operational strategies that enhance service delivery • Drive continuous process improvement initiatives by assessing workflows • Monitor and manage budgets, ensuring operational performance targets are met • Establish and maintain strong relationships with Regional Vice Presidents (RVPs) and their regional leadership teams • Ensure consistent adoption of best practices across all PSC operations

🎯 Requirements

• 7+ years of leadership experience in healthcare operations and/or pharmacy operations • 5+ years of experience leading large-scale operations teams (50+ team members) highly preferred • Proven experience collaborating with healthcare professionals, including physicians, nurses, and clinical staff, in hospital and/or provider settings (highly preferred) • Expertise in process development, process mapping, and process improvement, with a strong focus on optimizing pharmacy operations and enhancing patient outcomes • Self-directed and highly capable of managing complex operations with limited direct oversight • Experience in specialty pharmacy operations is highly preferred • Prior contact center operations experience or similar type experience would be helpful • Bachelor’s degree in Business Administration, Healthcare Administration, or a related field required • Advanced degrees (e.g., MBA, MHA, or equivalent) preferred but not required. • PharmD or BS in Pharmacy is a plus but not required (state certification not necessary).

🏖️ Benefits

• Health insurance • Professional development opportunities