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Director, Patient Access Strategy & Therapy Portfolio - Remote

UnitedHealth Group

RemoteVestavia Hills, AlabamaStaff$91.7k – $163.7k/yr
Sign in to applyVerified 4h ago
Location
Vestavia Hills, Alabama
Work model
Remote
Level
Staff
Salary
$91.7k – $163.7k/yr

About this role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Director, Patient Access Strategy & Therapy Portfolio is responsible for aligning patient access operations, therapy utilization, and clinical workflows to ensure patients receive sustainable care across ambulatory infusion locations. This role bridges intake, clinical, and reimbursement considerations to shape access pathways and therapy decisions that support both patient experience and organizational priorities. The Director serves as a key liaison across FlexCare, Optum Intake, and Optum Revenue Cycle Management to ensure consistent execution of intake processes, benefit coordination, and therapy routing logic. In addition to guiding therapy portfolio strategy, including therapy conversion, biosimilar adoption, site-of care alignment, and utilization management, the role identifies opportunities to improve how patients are routed, evaluated, and supported through their treatment journey. The role leverages data, operational insight, and payer knowledge to inform decisions, develop practical recommendations, and drive cross-functional initiatives that enhance access efficiency and therapy alignment. Through collaboration and structured execution, the Director ensures continuous improvement of therapy mix, access workflows, and overall care delivery performance. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

Patient Access Strategy & Clinical Coordination Partner with intake and navigation teams to refine routing logic, workflows, and decision rules that support optimal therapy selection and financial outcomes Liaise across FlexCare, Optum Intake, and Optum RCM to ensure alignment on: Financial assistance programs Free drug eligibility and capture Therapy intake decisions and downstream reimbursement implications Provide oversight of RN clinical reviewers to ensure: Clinical appropriateness of therapy conversions Alignment between clinical review and intake workflows Consistent application of substitution protocols and payer requirements Support development and maintenance of standardized protocols for therapy selection, substitution, and access pathways Therapy Portfolio Management Maintain oversight of therapy mix and portfolio performance across ambulatory infusion services Own execution of therapy optimization initiatives, including defining scope, timelines, milestones, success metrics, and risk mitigation plans Facilitate alignment across clinical, operational, and financial stakeholders Ensure accountability for deliverables and sustained execution of initiatives Track initiative performance and provide executive-level updates and recommendations Evaluate existing therapies and identify opportunities for: Therapy conversion (including clinically equivalent alternatives and biosimilars) Site-of-care optimization Drug utilization efficiency Develop and present business cases for therapy transitions, payer strategy adjustments, and margin improvement initiatives Monitor financial performance of high-cost medications and therapy categories, including identification of margin risk and leakage Partner with procurement, finance, contracting, and revenue cycle teams to implement revenue protection and margin improvement strategies Patient Access & Benefit

Listing verified 4h ago. Applications go through the company's official careers site.

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Director, Patient Access Strategy & Therapy Portfolio - Remote at UnitedHealth Group, Vestavia Hills, Alabama | Yoinka