Senior Director, Innovation & Impact - Patient Access Strategy & Transformation

The Sr. Director, Innovation & Impact is a senior strategic operator responsible for turning PRO-spectus’ innovation roadmap into scalable, measurable, and operationally adopted solutions. This role leads high-priority enterprise initiatives from concept and pilot through deployment, adoption, performance measurement, and value realization, with a focus on strengthening PRO-spectus’ patient access, reimbursement, market access, clinical adherence, pharmacy, and revenue cycle management capabilities.

This leader designs the operating models, workflows, governance structures, KPIs, and change management plans needed to move new ideas into consistent execution. The role partners cross-functionally with Operations, Technology, Client Services, Market Access, Pharmacy, Revenue Cycle Management, vendors, and strategic partners to launch initiatives that improve speed, quality, cost-effectiveness, patient/provider experience, and measurable business impact.

The ideal candidate is a strategic, data-driven transformation leader who can move fluidly between executive-level strategy and hands-on implementation. They are energized by ambiguity, passionate about patient access, skilled at building scalable systems, and able to translate complex data, operational needs, and innovation opportunities into clear action plans that drive measurable results.

 

Core Duties & Responsibilities

Strategic Roadmap Execution

• Own end-to-end delivery of priority innovation and transformation initiatives, from business case and pilot design through implementation, adoption, performance tracking, and value realization.
• Translate strategic opportunities into practical execution plans, including scope, milestones, dependencies, resourcing needs, governance, risk management, change management, and success measures.
• Design and build scalable operating models, workflows, decision rights, playbooks, and governance structures that enable successful launch and long-term sustainability.
• Coordinate enterprise-wide deployments across Operations, Technology, Client Services, Market Access, Pharmacy, Revenue Cycle Management, vendors, and strategic partners.
• Drive operational readiness for major launches, ensuring teams, tools, workflows, training, reporting, and stakeholder communications are in place before go-live.
• Surface risks, decisions, tradeoffs, and resourcing needs early, providing executive stakeholders with clear recommendations and options.

Innovation, Transformation & Value Creation

• Convert emerging technology, AI, automation, workflow redesign, and market innovation opportunities into scalable solutions that improve PRO-spectus’ core services.
• Lead initiatives that improve time-to-therapy, benefit verification turnaround, prior authorization and appeals workflows, reimbursement support, patient/provider experience, adherence support, operational quality, and cost-to-serve.
• Partner with Technology and Operations to identify manual, fragmented, or high-variance processes that can be improved through automation, AI-enabled workflows, better data visibility, or process standardization.
• Develop feasibility assessments and business cases for innovation investments, including expected ROI, operational impact, client value, implementation complexity, compliance considerations, and ongoing support needs.
• Establish adoption strategies that ensure new tools, workflows, and operating models are understood, embedded, and sustained across teams.
• Build repeatable frameworks for pilot evaluation, launch readiness, post-launch optimization, and benefits realization.

Data-Driven Insights & Impact Measurement

• Define KPIs, success metrics, dashboards, and reporting cadences for strategic initiatives, giving leadership clear visibility into progress, risks, adoption, outcomes, and measurable value.
• Use operational, financial, client, market, and patient access data to identify performance trends, bottlenecks, improvement opportunities, and strategic growth areas.
• Translate complex data into executive-ready insights, recommendations, and narratives that support fast, confident decision-making.
• Establish a continuous improvement loop where performance metrics, client feedback, team feedback, market trends, and patient/provider experience insights inform operational upgrades.
• Partner with Finance, Operations, Technology, and functional leaders to track value realization, including efficiency gains, quality improvements, cycle-time reduction, adoption, cost savings, revenue enablement, and client impact.

Cross-Functional Leadership & Collaboration

• Serve as a trusted advisor and execution partner to the Chief Innovation Officer and senior leadership team on enterprise innovation, transformation, and operating model priorities.
• Lead through influence across matrixed teams, aligning stakeholders around goals, responsibilities, timelines, decisions, and expected outcomes.
• Partner closely with operational leaders to ensure innovation efforts are realistic, compliant, scalable, and tightly coordinated with day-to-day client program delivery.
• Mentor and develop team members and cross-functional partners in transformation execution, impact measurement, change management, and data-driven decision-making.
• Strengthen the Innovation & Impact Office’s internal infrastructure by developing playbooks, templates, launch frameworks, governance tools, reporting standards, and standard operating procedures.
• Represent the Innovation & Impact Office as a collaborative, service-oriented partner that helps teams solve complex problems and improve patient access outcomes.

 

Skills & Requirements

• Strategic, data-driven transformation leader with strong execution discipline and the ability to move from concept to measurable operational impact.
• Strong understanding of patient access, reimbursement, HUB services, benefit verification, prior authorization, affordability programs, specialty pharmacy coordination, market access, revenue cycle, or related healthcare services.
• Demonstrated ability to build operating models, workflows, governance structures, playbooks, and scalable processes in a fast-paced or evolving environment.
• Strong financial and analytical acumen, including experience developing business cases, feasibility assessments, ROI models, KPI frameworks, and executive-level performance reporting.
• Ability to translate complex data, operational issues, and strategic opportunities into clear recommendations, compelling presentations, and actionable plans.
• Executive-level communication and stakeholder management skills; strong storyteller who can influence senior leaders, align cross-functional teams, and build consensus.
• Strong change management mindset, with the ability to drive adoption of new tools, processes, workflows, and ways of working.
• Comfort with AI, automation, digital workflow tools, analytics platforms, and technology-enabled operating models; able to partner effectively with technical and non-technical stakeholders.
• Strong project and program management skills; proficiency with tools such as Asana, Monday.com, Smartsheet, Lucidchart, or similar platforms.
• Experience with workforce management, staffing, scheduling, capacity planning, or productivity tools.
• Natural mentor and people developer, comfortable leading through influence today and direct reports as the function scales.
• Comfortable operating in ambiguity with urgency, humility, sound judgment, and a positive, solutions-oriented approach.
• Service-oriented mindset with a genuine passion for improving patient access, reducing barriers to care, and supporting healthcare outcomes.
• Comfortable working in a remote environment across multiple U.S. time zones.

 

Education, Certifications & Experience

• Bachelor’s degree required; advanced degree such as MBA, MHA, MPH, or related field preferred.
• 8–12+ years of progressive experience in healthcare operations, patient services, market access, reimbursement, transformation, program management, operational excellence, strategy execution, or management consulting.
• Experience in patient access, reimbursement, specialty pharmacy, market access, HUB services, patient support services, rare disease, cell and gene therapy, specialty pharma, medical benefit reimbursement, or life sciences services strongly preferred.
• Demonstrated experience leading strategic initiatives from business case through implementation, adoption, and measurable value realization.
• Demonstrated experience building or scaling operating models, PMO capabilities, transformation functions, continuous improvement programs, or cross-functional enterprise initiatives.
• Experience developing financial models, feasibility assessments, KPI frameworks, dashboards, or executive-level business cases.
• Experience working with technology, analytics, automation, AI-enabled workflows, or digital transformation initiatives preferred.
• Demonstrated experience developing others through direct leadership, matrixed leadership, coaching, or cross-functional influence.
• PMP, Lean Six Sigma, Agile, change management, or equivalent certification preferred.

 

Physical Requirements: 

• As a remote-forward organization, this position operates in a virtual professional office environment and teleworking from the employee’s home address listed in their employment file.
• Prolonged periods of sitting at a desk and working on a computer
• Keyboarding
• Speaking
• Must be able to lift up to 15 pounds at times
• Flexibility of working hours to support activities across EST to PST zones
• Minimal travel possible.

 

Our PRO-spectus Culture Philosophy

At PRO-spectus we have created a culture that is supportive, dedicated, and teamwork driven.  We celebrate each other’s joys in personal life and professional accomplishments, promoting meaningful relationships and friendships. 

Our employees bring strength of mind and spirit to make the extraordinary happen every day.  With humility and compassion at our core, PRO-spectus is proud of our relentless focus towards the higher purpose of improving the lives of patients we support.

We recognize it takes a lot of people working together with a common goal to make spectacular happen, and we never forget that at the heart of our company are the people who make it work.

PRO-spectus is an Equal Opportunity / Affirmative Action employer. All qualified individuals will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, age, disability, protected veteran status, marital status or other protected status under federal, state or local laws.1

At PRO-spectus, we are deeply committed to pay transparency and equity. The annual range for this position is $160,000 - $175,000, based on experience and qualifications, with the final offer reflecting skills and other job-related factors. Beyond competitive pay, we offer a comprehensive and generous benefits package designed to support your well-being and work-life balance. 

Our benefits include robust medical, dental, and vision plans; life insurance and disability coverage; and tax-advantaged savings accounts. We also provide an Employee Assistance Program, home office benefits, and unique perks like an Employee Ownership Program. With paid time off, holidays, bereavement leave, and a 401(k)-retirement plan with employer matching, PRO-spectus prioritizes your financial and personal security. Plus, you may be eligible for a performance-based bonus opportunity. 

Join PRO-spectus, where your career growth, well-being, and contributions truly matter!