Senior Director - Access Therapy Initiation and Care Coordination - CarepathRx - Remote

Location: Pennsylvania, United States — work at home. Home internet must use cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload.

Company

hirify.global improves the health and vitality of clients, customers, and patients through Cigna Healthcare and Evernorth Health Services.

What you will do

• Lead end-to-end patient access, therapy initiation, and care coordination operations across specialty pharmacy, infusion, enteral, and emerging service lines.
• Develop scalable operating models, workflows, and capabilities that improve service delivery, speed-to-therapy, customer experience, and operational efficiency.
• Partner with clinical, pharmacy, nursing, commercial, implementation, client management, technology, revenue cycle, payer, and finance teams.
• Lead transformation initiatives involving process optimization, automation, technology enablement, workforce effectiveness, and service innovation.
• Direct reimbursement, authorization, and market access strategies to improve approval outcomes, reduce denials, mitigate risk, and strengthen payer engagement.
• Own operational and financial performance, including productivity, service levels, labor efficiency, quality, reimbursement outcomes, profitability, budgeting, and resource allocation.

Requirements

• High school diploma or GED.
• At least 8 years of progressive healthcare operations leadership experience.
• At least 6 years leading large-scale patient access, specialty pharmacy, healthcare operations, revenue cycle, reimbursement, market access, or care coordination organizations.
• Experience leading multifunctional teams and large-scale 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 with executive leadership teams.

Nice to have

• Bachelor’s or master’s degree in healthcare administration, business, pharmacy, nursing, or a related discipline.
• Experience in specialty pharmacy, home infusion, ambulatory care, patient access, reimbursement, market access, or patient support services.
• Experience supporting health system partnerships, large-scale implementations, payer relations, contracting, revenue cycle, pharmaceutical manufacturers, or patient support program partners.

Culture & Benefits

• Remote work arrangement with defined home internet service requirements.
• Focus on accountability, collaboration, innovation, continuous improvement, and patient-centered service.
• Work alongside clinical, commercial, payer, technology, finance, and client-facing functions.
• Tobacco-free workplace policy and reasonable accommodation support for the application process.