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Senior Director, Clinical Solutions
Location
United States
Posted
9 days ago
Salary
0
Seniority
Senior
Job Description
Senior Director, Clinical Solutions
CorroHealth
• Ensure production and quality metrics are met for all clients, while ensuring positive staff morale and development • Work closely with AVP to meet client expectations • Partner with Managers & Supervisors to ensure that Team Member engagement, performance and development are top priority • Partner with Managers & Supervisors to create and document best policies and guidelines for effective performance • Partner with AVP on client engagement tasks, which include creating and presenting reporting packages • Ensure production, quality and effective scores are accurately captured, tracked, and feedback is provided to Team Members in a clear and timely manner • Oversee that team special projects are executed in a timely and effective manner to ensure quality for client health • Guide and develop Supervisors in all aspects of Team Member performance management including developing effective action plans, addressing performance challenges in a positive and supportive manner • Calibrate audit process to ensure quality check is maintained • Communicate with management on team member performance/improvement opportunities • Work closely with leadership to ensure best training practices are executed
Job Requirements
- At least five years of relevant work experience, including direct people management
- Previous experience in a client facing role on the provider side of the healthcare domain
- MUST have denials management experience on the provider side of the healthcare domain
- DRG Downgrade experience highly preferred
- Strong knowledge of the Revenue Cycle Management industry
- Experience managing a remote hourly workforce preferred
- Basic Outlook, Word and Power Point skills (ability to create emails, schedule meetings and prepare documents and presentations)
- Intermediate Excel skills (knowledge of functions such as vlookup, sumif, countif, pivot tables, basic formulas)
- Must possess excellent organizational, problem solving, critical thinking, conflict resolution and management skills
- Ability to work both independently and with a team
- Ability to actively listen and effectively express ideas verbally and in writing
- Ability to plan, organize and distribute work assignments
- Ability to train, mentor, lead, motivate and develop team members
Benefits
- Professional development opportunities
- Investment in personal growth
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Director of Access Solutions
Harrow, Inc.Harrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Commitment to innovation. Patient access to affordable medicines. Track record of supporting mission work aimed at giving or maintaining the gift of sight to those most in need. Harrow’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including: An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZ™, and OPUVIZ™. A broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and FRESHKOTE®. A peri-operative Surgical product line, led by TRIESENCE® and BYQLOVI™. A Rare and Specialty product line, which includes various high-need and utility products such as ILEVRO®, NATACYN®, and VERKAZIA®. A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01.
Role Description The Director, Access Solutions, will serve as a critical strategic and operational leader within Harrow's market access organization. This role is responsible for designing, implementing, and optimizing the full spectrum of patient and provider access programs. The Director will work cross-functionally with Commercial, Medical Affairs, Marketing, and Legal/Compliance to ensure patients have seamless access to Harrow's ophthalmology portfolio while maximizing brand performance and improving affordability. 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develop customized account plans and support resources to drive program performance. - Monitor regional pharmacy program metrics and trends; leverage data insights to optimize network coverage, patient access, and pharmacy engagement. - Work closely with field-based market access and sales teams to align regional pharmacy strategies with local commercial priorities and payer environments. - Prior Authorization Improvement - Lead enterprise-wide prior authorization strategy, working with payer teams, HUB vendors, and field market access to minimize PA burden on providers and reduce time-to-therapy for patients. - Develop and maintain a comprehensive PA landscape analysis across commercial and government payers, identifying coverage gaps, restrictive criteria, and appeal opportunities. - Create and continuously update PA support tools for physicians and office staff (step edit guides, clinical summary letters, appeal templates, and medical exception forms) in close partnership with Medical Affairs. - Implement PA tracking and reporting systems that provide real-time visibility into approval rates, denial trends, and appeal outcomes; use data to inform payer strategy and coverage improvement initiatives. - Copay Program Management and Optimization - Design, launch, and manage patient copay assistance programs across Harrow's portfolio, ensuring programs are structured to maximize patient affordability and market access impact. - Partner with Finance and Legal/Compliance to establish copay program parameters, eligibility criteria, and benefit caps that are both commercially effective and compliant with all applicable regulations (including OIG guidance and CMS requirements), with clear business rules that safeguard program integrity against fraud, waste, and abuse. - Select and manage copay program vendors and third-party administrators; negotiate contracts, establish performance standards, and conduct regular business reviews. - Monitor copay program utilization, cost-effectiveness, and patient outcomes; adjust program design to capture optimization opportunities. - Stay current on the copay accumulator and maximizer landscape; 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Qualifications - Bachelor's degree required; advanced degree (MBA, PharmD) preferred. - 10+ years of progressive market access, patient services, or specialty pharmacy experience within pharmaceutical, biotech, or ophthalmology companies. - Demonstrated experience designing and managing end-to-end access programs from vendor selection and contracting through performance management and optimization. - Strong understanding of the complex reimbursement landscape for ophthalmology, including buy-and-bill, specialty pharmacy-dispensed products, J-Code reimbursement, and Commercial/Medicare/Medicaid dynamics (strongly preferred). - Exceptional cross-functional collaboration skills; able to influence and align Commercial, Medical Affairs, Legal/Compliance, and Finance stakeholders. - Analytical mindset with experience developing and monitoring KPIs, interpreting program data, and driving data-informed decisions. - Outstanding written and verbal communication skills; demonstrated ability to translate complex market access concepts into clear, actionable messaging for diverse audiences. Position Details - Position Type: Remote - Travel: Up to 50%
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