Case Management Operations Director

Alivia Health

6h

About The Position

We are seeking a strategic leader to oversee and optimize Case Management operations within a specialty pharmacy setting. This role is responsible for ensuring timely patient access to therapy, enhancing patient experience, and driving operational excellence and regulatory compliance.

If you are passionate about leading with impact and improving patient outcomes, we encourage you to apply.

Requirements

• Bachelor’s degree in healthcare, business, or related field (advanced degree preferred)
• 10+ years of experience in case management, patient access, or pharmacy operations
• 3–5 years of leadership experience
• Strong knowledge of payer processes, PBMs, and prior authorizations

Responsibilities

• Lead case management operations including prior authorizations, appeals, and coordination with providers, payers, and PBMs
• Drive operational efficiency, reduce resolution times, and improve approval rates
• Develop and lead high-performing, patient-focused teams
• Strengthen partnerships with physicians, health plans, and key stakeholders
• Implement process improvements, technology solutions, and KPI-driven strategies

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 11-50 employees