Senior Director – Access Therapy Initiation and Care Coordination

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟠 Senior

😶‍🌫️ Therapist

👻 Ghost score 10%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Lead end-to-end patient access, therapy initiation, and care coordination operations across Pharmacy Services • Establish and drive operational, quality, service, and financial objectives • Develop scalable operating models, workflows, and capabilities supporting growth and continuous improvement • Lead transformation initiatives involving process optimization, technology enablement, workforce effectiveness, and service innovation • Develop strategies to improve patient access, remove therapy barriers, and accelerate 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 supporting patient outcomes and organizational objectives • Support growth initiatives, new client implementations, and service line expansion • Evaluate market trends, reimbursement dynamics, payer policies, and emerging opportunities • Optimize technologies, automation, and business processes • Collaborate with payers, pharmaceutical manufacturers, health systems, and patient support organizations • Lead reimbursement, authorization, and market access operations • Improve approval outcomes, reduce denials, mitigate reimbursement risk, and strengthen payer engagement • Partner with Revenue Cycle, Finance, Contracting, and Clinical leaders on reimbursement optimization • Own 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 • Use analytics and performance insights to drive decisions and business goals • Communicate performance, strategic initiatives, and operational results to executive leadership • Ensure regulatory, accreditation, payer, and organizational compliance • Establish governance supporting audit readiness, reimbursement integrity, quality outcomes, and consistent execution • Build and develop a high-performing leadership team through coaching, succession planning, and capability development • Foster accountability, collaboration, innovation, and continuous improvement • Lead change management, workforce planning, and organizational development

🎯 Requirements

• High School Diploma or GED • 8+ years of progressive healthcare operations leadership experience • 6+ years leading large-scale patient access, specialty pharmacy, healthcare operations, revenue cycle, reimbursement, market access, or care coordination organizations • Demonstrated experience leading multi-functional teams across patient onboarding, reimbursement, authorization, financial assistance, care coordination, or related operational areas • Experience leading large teams through operational transformation, growth, and process optimization initiatives • Strong knowledge of payer processes, insurance verification, benefit investigation, prior authorization, reimbursement programs, market access dynamics, and patient access operations • Proven ability to influence and partner across executive leadership teams • Preferred: Bachelor's degree in Healthcare Administration, Business, Pharmacy, Nursing or related field • Preferred: Master's degree, such as MBA, MHA, MPH, or related discipline • Preferred experience in specialty pharmacy, home infusion, ambulatory care, patient access, reimbursement, market access, or patient support services • Preferred experience supporting health system partnerships and large-scale operational implementations • Preferred experience partnering with payer relations, contracting, revenue cycle, pharmaceutical manufacturers, or patient support program partners • If working from home, cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Remote work may be occasional or permanent, subject to cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload • Tobacco-free policy • Reasonable accommodation support for the online application process