The Senior Director - Access, Therapy Initiation and Care Coordination is responsible for the strategic leadership, performance, and growth of CarepathRx's patient access and therapy initiation operations across specialty pharmacy, infusion, enteral, and emerging service lines. This leader oversees the end-to-end patient access continuum, ensuring efficient, compliant, and patient-centered processes that optimize speed-to-therapy, reimbursement performance, and customer experience.
As a key member of the Pharmacy Services leadership team, the Senior Director establishes strategic direction, drives operational excellence, advances organizational capabilities, and leads transformational initiatives that support sustainable growth. The role partners across clinical, commercial, revenue cycle, payer, technology, and client-facing teams to enhance service delivery, improve financial performance, and strengthen CarepathRx's position as a leading provider of pharmacy and patient access solutions
KEY RESPONSIBILITIES
Operational Leadership
Lead the end-to-end patient access, therapy initiation, and care coordination operations, ensuring efficient, compliant, and patient-centered service delivery across Pharmacy Services.
Establish and drive performance against operational, quality, service, and financial objectives while promoting accountability for customer and patient outcomes.
Develop scalable operating models, workflows, and capabilities that support organizational growth, operational excellence, and continuous improvement.
Lead transformation initiatives focused on process optimization, technology enablement, workforce effectiveness, and service innovation.
Patient Access & Care Experience
Develop and execute strategies that improve patient access, remove barriers to therapy, and accelerate speed-to-therapy across specialty pharmacy, infusion, enteral, and emerging service lines.
Partner with clinical, pharmacy, nursing, and operational leaders to coordinate seamless patient onboarding, therapy readiness, and care transitions.
Champion a patient-centered culture that balances quality, compliance, affordability, and service excellence.
Advance site-of-care and access strategies that improve patient outcomes while supporting organizational and client objectives.
Strategic Execution & Growth
Partner with commercial, implementation, client management, and operational leaders to support growth initiatives, new client implementations, and service line expansion.
Evaluate market trends, reimbursement dynamics, payer policies, and emerging opportunities to inform strategic priorities and operational readiness.
Drive innovation through optimization of technologies, automation, and business processes that enhance scalability, customer satisfaction, and organizational performance.
Collaborate with external partners, including payers, pharmaceutical manufacturers, health systems, and patient support organizations, to strengthen patient access and service delivery.
Reimbursement Strategy & Market Access
Provide strategic leadership for reimbursement, authorization, and market access operations to optimize patient access and financial performance.
Establish best practices that improve approval outcomes, reduce denials, mitigate reimbursement risk, and strengthen payer engagement strategies.
Partner with Revenue Cycle, Finance, Contracting, and Clinical leaders to identify opportunities for reimbursement optimization and operational improvement.
Monitor industry, payer, and regulatory trends to proactively address market access challenges and opportunities.
Financial & Business Management
Own operational and financial performance, including productivity, service levels, labor efficiency, reimbursement outcomes, quality results, and profitability targets.
Lead budget development, workforce planning, resource allocation, and organizational prioritization to support strategic objectives
Leverage analytics and performance insights to drive decision-making, continuous improvement, and achievement of business goals.
Communicate organizational performance, strategic initiatives, and operational results to executive leadership.
Compliance, Risk & Quality
Ensure compliance with regulatory requirements, accreditation standards, payer expectations, and organizational policies.
Partner with Compliance, Quality, Clinical Services, Revenue Cycle, Finance, and Contracting teams to mitigate risk and strengthen operational controls.
Establish governance practices that support audit readiness, reimbursement integrity, quality outcomes, and consistent operational execution.
Leadership & Talent Development
Build and develop a high-performing leadership team through coaching, succession planning, and organizational capability development.
Foster a culture of accountability, collaboration, innovation, and continuous improvement.
Lead change management, workforce planning, and organizational development efforts that support long-term business growth and performance.
QUALIFICATIONS
Required
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
Master's degree, such as MBA, MHA, MPH, or related discipline.
Experience in specialty pharmacy, home infusion, ambulatory care, patient access, reimbursement, market access, or patient support services.
Experience supporting health system partnerships and large-scale operational implementations.
Experience partnering with payer relations, contracting, revenue cycle, pharmaceutical manufacturers, or patient support program partners.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health.
The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.
