Sr Dir Patient Access & Advocacy

Role: Senior Director of Patient Access & Advocacy, responsible for strategizing and managing the Patient Access Program to optimize coverage, prior authorization, reimbursement, and escalation pathways. Responsibilities include leading program operations, developing workflows for benefit review and appeals, guiding payer reimbursement strategies across commercial and Medicare Advantage plans, and advocating for patients while ensuring compliance. The role involves building cross-functional relationships with Market Access, Medical Affairs, Legal, and field teams, and overseeing team development, training, and performance management. Key tasks also include analyzing access trends, reporting, technology management, and ensuring adherence to regulatory standards. Qualifications: Bachelor's degree or equivalent, extensive experience in patient access, reimbursement, or healthcare operations, with proven leadership and program development skills. Expertise in commercial insurance, Medicare policies, coding, and reimbursement processes is essential, alongside proficiency in CRM systems like Salesforce. The candidate should possess strong analytical, communication, and decision-making skills, capable of balancing strategic oversight with detailed case resolution. High-value specifics: experience with complex healthcare therapies, evolving coverage, and reimbursement landscape, ideally within biopharma, medical devices, or biotech sectors. Location: not specified; likely requires collaboration across functions and stakeholders.