Senior Director – Access Therapy Initiation and Care Coordination

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟠 Senior

😶‍🌫️ Therapist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Provide strategic leadership for CarepathRx's patient access and therapy initiation operations across specialty pharmacy, infusion, enteral, and emerging service lines • Oversee the end-to-end patient access continuum to optimize speed-to-therapy, reimbursement performance, compliance, and customer experience • Establish strategic direction, drive operational excellence, advance organizational capabilities, and lead transformational initiatives • Lead 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 process optimization, technology enablement, workforce effectiveness, and service innovation initiatives • 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 to enhance scalability and performance • 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 continuous improvement • Communicate performance, strategic initiatives, and operational results to executive leadership • Ensure compliance with regulatory requirements, accreditation standards, payer expectations, and organizational policies • Establish governance practices supporting audit readiness, reimbursement integrity, quality outcomes, and operational 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 efforts

🎯 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 • For home working, internet connection must be through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

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