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Gifthealth

Vice President – Patient Access

Gifthealth

Vice President of Patient Access leading patient access functions across programs at Gifthealth, enhancing patient care and operational excellence.

Posted 6/12/2026full-timeColumbus • Ohio • 🇺🇸 United StatesLead💰 $184,000 - $189,000 per yearWebsite

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Applicant Tracking System Keywords

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Hard Skills
prior authorizationreimbursement analysisbenefits verificationcoverage determinationdenial managementworkflow automationpatient assistance programsspecialty pharmacyhub servicesaccess models
Soft Skills
leadershipcommunicationstrategic planningproblem-solvingcollaborationtrend analysisproject managementoperational excellenceengagementteam management
Tools & Technologies
ePA toolsworkflow automation systems
Industry Keywords
specialty medicationspayer typestherapeutic areasaccess barriersprogram launchespatient enrollmentoperational modelsexception handlingappeals strategyprogram management

About the role

Key responsibilities & impact
  • 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

Requirements

What you’ll need
  • 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)

Benefits

Comp & perks
  • Health insurance
  • 401(k) matching
  • Flexible working hours
  • Paid time off
  • Professional development opportunities