Vice President – Patient Access

Responsibilities

• Leads the full lifecycle of prior authorization (PA) activities across all programs, including submissions, follow-ups, appeals, and exception handling.
• Designs, documents, and operationalizes repeatable, high-quality PA and reimbursement models that can be consistently deployed across existing and new programs.
• Oversees denial management and appeals strategy, ensuring effective resolution of access barriers while analyzing trends for improvements.
• Partners with product and engineering teams to implement ePA tools and workflow automation.
• Manages bridge, copay, and patient assistance programs to ensure rapid enrollment of eligible patients.
• Owns prescriber office engagement, ensuring consistent communication and program launches.

• Bachelor’s degree in business administration, operations management, or related field (Required)
• 15+ years of experience in specialty pharmacy patient access, hub services, or reimbursement operations (Required)
• 5+ years in a senior leadership role with direct management of PA and reimbursement teams (Required)
• Experience managing prior authorization operations across multiple payer types and therapeutic areas (Required)
• Experience in benefits verification, coverage determination, and reimbursement analysis for specialty medications (Required)
• Experience with complex manufacturer‑restricted access models (Preferred)