Full-Time

Patient Support Center Director

Shields Health Solutions

Shields Health Solutions

1,001-5,000 employees

Specialty pharmacy services for health systems

No salary listed

Remote in USA

Remote

Bachelor's, MBA, PharmD

Category
Operations & Logistics (1)
Required Skills
Data Analysis

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Requirements
  • Bachelor’s degree in Business Administration, Healthcare Administration, or a related field required.
  • 7+ years of leadership experience in healthcare operations and/or pharmacy operations, with a track record of driving efficiency and performance.
  • Self-directed and highly capable of managing complex operations with limited direct oversight.
Responsibilities
  • Oversee daily operations related to Specialty Pharmacy prior authorization and patient financial assistant operations.
  • Other expanded responsibilities could include benefits investigations, refill management, patient outreach calls, ensuring efficiency and compliance with industry’s best practices.
  • Develop and implement scalable operational strategies that enhance service delivery, productivity, and patient support outcomes.
  • Lead and facilitate strategic discussions with regional and senior leadership teams to identify challenges, develop solutions, and drive continuous operational improvements.
  • Monitor and manage budgets, ensuring operational performance targets are met while maintaining a patient-centered approach.
  • Drive continuous process improvement initiatives by assessing workflows, identifying inefficiencies, and implementing best practices across the broader team.
  • Leverage technology solutions (CRM platforms, automated refill systems, data analytics, and other technology that will drive efficiency and scalability)
  • Provide visibility and career advancement opportunities through leadership training, succession planning, and mentorship programs.
  • Build, inspire, and develop a high performing, engaged team by providing clear direction, motivation, and professional growth opportunities.
  • Provide coaching, feedback, and development to direct reports, including PSC Supervisors, Regional Team Leads, and Patient Support Advocates, to ensure alignment with performance expectations.
  • Create individualized development plans for team members, leveraging the Leadership Development Model (LDM) to help them reach their full potential.
  • Lead the identification and development of future leaders within the PSC ensuring a strong leadership pipeline for continued growth.
  • Ability to lead teams through operational challenges and unexpected disruptions as well as manage conflict resolution using de-escalating techniques to support team as well as client expectations.
  • Establish and maintain strong relationships with Regional Vice Presidents (RVPs) and their regional leadership teams to ensure health system and clinic satisfaction.
  • Serve as a trusted partner and subject matter expert to hospital and clinic leadership, helping resolve operational challenges and drive service excellence.
  • Partner with data analytics and other functional teams to evaluate performance metrics, execute improvement initiatives, and support data-driven decision-making.
  • Engage with hospital clinic leaders to proactively address barriers to medication adherence, prior authorizations, and high financial co-pays, developing innovative solutions to enhance patient support.
  • Stakeholder influence in a matrixed organization will be necessary to influence people without direct authority (particularly true when working with client partners and regional facing support teams)
  • Ensure consistent adoption of best practices across all PSC operations, driving alignment with Shields Health Solutions' mission and values.
  • Create and track key performance indicators (KPIs) using data analytics to measure success, identify opportunities, and drive performance enhancements.
  • Maintain high accountability in balancing patient care, productivity, service levels, and operational targets.
  • Lead projects and sponsor initiatives that leverage technology and automation to optimize patient support operations.
  • Ensure compliance with HIPAA regulations and uphold ethical standards in handling patient information and company proprietary data.
  • Travel as necessary to support business operations and health system partner needs (estimated 20%-25%).
  • Other duties as assigned.
Desired Qualifications
  • Advanced degrees (e.g., MBA, MHA, or equivalent) preferred but not required.
  • PharmD or BS in Pharmacy is a plus but not required (state certification not necessary).
  • 5+ years of experience leading large-scale operations teams (50+ team members) highly preferred.
  • Proven experience collaborating with healthcare professionals, including physicians, nurses, and clinical staff, in hospital and/or provider settings (highly preferred).
  • Experience in specialty pharmacy operations is highly preferred, with a strong understanding of specialty refill management, prior authorization workflows, benefits investigations, and patient financial assistance.
  • Prior contact center operations experience or similar type experience would be helpful (but not required)
Shields Health Solutions

Shields Health Solutions

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Shields Health Solutions provides integrated specialty pharmacy services for health systems to improve patient outcomes and drive growth. It collaborates with 75 health systems, including academic medical centers and community hospitals across 47 states, to deliver medication management, patient support programs, and care coordination for patients with chronic and complex diseases. The company works by partnering with clinicians and healthcare providers to manage specialty medications, optimize clinical outcomes, and make high-cost therapies more accessible and affordable. What sets Shields apart is its extensive network of health-system partnerships and its focus on therapy management and coordination within the hospital ecosystem, rather than operating as a standalone retail pharmacy. The goal is to help health systems expand access to specialty care, improve patient outcomes, and grow through integrated pharmacy services.

Company Size

1,001-5,000

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$3.5B

Headquarters

Quincy, Massachusetts

Founded

2012

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Simplify Jobs

Simplify's Take

What believers are saying

  • Baptist Health joined Shields on June 9, 2026, expanding its Florida hospital footprint.
  • Columbus Regional Health signed on April 22, 2026, showing continued health-system demand.
  • Shields claims 90% limited-distribution-drug access and 13% lower total cost of care.

What critics are saying

  • Evernorth's $3.5 billion 2025 investment ties Shields to a direct specialty-pharmacy competitor, Accredo.
  • Health systems can renegotiate or insource pharmacy operations after Shields' contracts, disrupting revenue in 2027.
  • A major data breach or payer audit would crush trust and trigger hospital defections.

What makes Shields Health Solutions unique

  • Shields embeds specialty pharmacy inside health systems, not standalone retail, deepening physician workflow control.
  • Its January 13, 2026 Foundation Health deal adds AI workflows across prior authorizations and adherence.
  • A 2026 national footprint across nearly 80 health systems gives Shields contracting leverage and access.

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Benefits

Hybrid Work Options

Annual Performance Bonus

Growth & Insights and Company News

Headcount

6 month growth

24%

1 year growth

24%

2 year growth

24%
HealthTech HotSpot
Apr 22nd, 2026
Shields Health Solutions partners with Columbus Regional Health to enhance patient access to Specialty Pharmacy Services.

Shields Health Solutions partners with Columbus Regional Health to enhance patient access to Specialty Pharmacy Services. The partnership will support patients through personalized care, medications, and coordination STOUGHTON, Mass. & COLUMBUS, Ind.-(BUSINESS WIRE)-Shields Health Solutions (Shields), the premier specialty pharmacy accelerator in the country announced a new partnership with Columbus Regional Health (CRH), a leading health system serving a 10-county area in south central Indiana, and its first health system partner in the state of Indiana. This enhanced collaboration is designed to better support patients who rely on specialty medications to treat complex conditions such as cancer, multiple sclerosis, and autoimmune diseases. By expanding support services, the partnership will help ensure comprehensive, coordinated care for more than 8,000 patients managing chronic conditions. Upon the initial launch of the program, CRH's Specialty Pharmacy will service cardiology, pulmonology, oncology, and gastrointestinal patients, with the goal of continued expansion into additional disease states. It will also strengthen care coordination across CRH's provider network by integrating Shields' proven specialty pharmacy care model and deep expertise. Through this partnership, patients will benefit from personalized support services, including assistance navigating insurance coverage and financial assistance programs. These services are intended to reduce out-of-pocket costs, improve medication adherence, and ensure timely access to critical therapies. "Our partnership with Columbus Regional Health reflects the health system's commitment to delivering exceptional care for every patient," said Michael Ham, CEO of Shields Health Solutions. "We look forward to working alongside Columbus Regional as it expands specialty pharmacy services and its impact on complex patients throughout southern Indiana." "CRH is committed to delivering exceptional care and service for all patients," said Matt Hotek, Director of System Pharmacy Services at Columbus Regional Health. "We're excited to collaborate with organizations that share our commitment to delivering results and putting patients at the center of everything we do." Shields currently partners with nearly 75 health systems around the country, helping patients to reduce co-pays, promptly receive medication delivery, and improve medication adherence. About Shields Health Solutions Shields Health Solutions (Shields) is the premier specialty pharmacy accelerator in the country. The Shields Performance Platform, an integrated set of solutions, services and technology, is intentionally designed to elevate payer and drug access for specialty pharmacies, elevate health outcomes for complex patients, and elevate growth throughout the entire health system. As the foremost experts in the health system specialty pharmacy industry, Shields has a proven track record of success including access to over 80 percent of all limited distribution drugs (LDDs) and most (health insurance) payers in the nation; and a clinical model proven to lower total cost of care by 13%. In partnership with nearly 75 health systems across the country through national-scale collaboration, Shields has a vested interest in delivering measurable clinical and financial results for health systems. For more, visit its blog and follow HealthTech HotSpot LLC on social media, @ShieldsRX, LinkedIn, Facebook, and YouTube. About Columbus Regional Health Columbus Regional Health is an independent health system based in south central Indiana, and a proud member of the Cleveland Clinic Connected program. CRH holds a 107-year history as a premier healthcare provider in the state, and is a top employer in its flagship community of Columbus, Indiana. CRH is comprised of more than 2,600 employees, 225 physicians on medical staff and 250 volunteers. Columbus Regional Hospital, the system's anchor facility, is a 225-bed not-for-profit, providing emergency and surgical services and comprehensive care in numerous specialty areas. Columbus Regional Health Physicians offers a network of primary and specialty care physicians. For Shields Health Solutions Jeff Cramer Director, Communications and Corporate Affairs For Columbus Regional Health Kelsey DeClue Public Relations Coordinator April 22nd, 2026 April 21st, 2026

Shields Health Solutions
Mar 17th, 2026
Shields and Foundation Health partner to bring AI to a rapidly evolving specialty pharmacy landscape.

Shields and Foundation Health partner to bring AI to a rapidly evolving specialty pharmacy landscape. As the specialty pharmacy landscape rapidly changes, Shields Health Solutions is taking a thoughtful approach to innovation. In Becker's Hospital Review, Shields shares why it partnered with Foundation Health to develop AI-enabled workflows designed to strengthen operational efficiency and future-ready pharmacy models. Read the full article at Becker's Hospital Review.

Central Florida Media Group
Nov 12th, 2025
Shields Health Solutions, Lakeland Regional Health Collaborate to Enhance Patient Access to Specialty Pharmacy Care

Shields Health Solutions, Lakeland Regional Health collaborate to enhance patient access to specialty pharmacy care. The partnership will support patients through personalized care, medications, and coordination. STOUGHTON, Mass. & LAKELAND, Fla. (November 12, 2025) - Shields Health Solutions (Shields), the premier specialty pharmacy accelerator in the country, has partnered with Lakeland Regional Health, one of Florida's leading healthcare providers, to improve access to specialty medications for patients managing chronic and complex health conditions. This enhanced collaboration is designed to support patients who rely on specialty medications to treat conditions such as cancer, multiple sclerosis, and autoimmune diseases. It will also strengthen care coordination across Lakeland Regional Health's provider network by integrating Shields' care model and expertise in specialty pharmacy. "Lakeland Regional Health is known for delivering compassionate, high-quality care to patients across Central Florida," said Michael Ham, CEO of Shields Health Solutions. "We're proud to support their teams by expanding access to specialty medications and helping patients manage complex therapies more affordably and effectively." Through this partnership, patients will benefit from personalized support services, including help navigating insurance coverage and financial assistance programs, which aim to reduce out-of-pocket costs, improve medication adherence, and ensure timely access to critical therapies. The initial focus of the collaboration will be on oncology and rheumatology with plans to expand into additional specialties over time. Shields currently partners with nearly 80 health systems nationwide, helping patients receive medications faster, reduce co-pays, and improve health outcomes. "At Lakeland Regional Health, we are committed to removing barriers to care and ensuring our patients have access to the treatments they need," said Ana Kalman, SVP, Chief Information Officer, Chief Operating Officer and Medical Center COO of Lakeland Regional Health. "Partnering with Shields allows us to enhance our specialty pharmacy services and deliver even greater value to our community." For more information, visit www.shieldshealthsolutions.com.

Benzinga
Sep 2nd, 2025
Analyst Favors Cigna, Alignment Healthcare, Cautious On Peers

Evernorth Health Services announced on Tuesday a $3.5 billion investment in Shields Health Solutions, a specialty pharmacy management company.

Surperformance
Sep 2nd, 2025
Cigna's Evernorth invests $3.5B in Shields

Cigna's unit, Evernorth Health, will invest $3.5 billion in Shields Health to enhance its specialty pharmacy business. This investment follows Shields' transition to a private company after Sycamore Partners acquired its former parent, Walgreens Boots Alliance, for $10 billion. Evernorth, which operates Accredo, aims to meet the growing demand for specialty medications. The investment is in preferred stock and won't impact Cigna's 2025 profit forecast.