Director of Access Solutions

Before reading the job post, we encourage you to watch this video about our company. It gives you an inside look at how we started, the team and culture that made us successful, and where we're going. It's easy to read a job post and apply, but people often wonder about the culture and whether they would fit in. If you want to call Harrow your home and genuinely want to be part of a family and something big, then we encourage you to click this link and get to know us. Who is Harrow? Harrow (Nasdaq HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. We encourage you to learn more about Harrow and its unique culture to see if you’re the right person to help contribute as we build a truly exceptional company, one we are all so proud of! Harrow’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZTM, and OPUVIZTM A broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and FRESHKOTE® A peri-operative Surgical product line, led by TRIESENCE®, and BYQLOVITM A Rare and Specialty product line, which includes various high-need and utility products such as ILEVRO®, NATACYN®, and VERKAZIA® A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01 Position Summary The Director, Access Solutions, will serve as a critical strategic and operational leader within Harrow's market access organization. This role is responsible for designing, implementing, and optimizing the full spectrum of patient and provider access programs. The Director will work cross-functionally with Commercial, Medical Affairs, Marketing, and Legal/Compliance to ensure patients have seamless access to Harrow's ophthalmology portfolio while maximizing brand performance and improving affordability. Core Responsibilities Specialty Pharmacy Operations and Management Lead the strategic design, contracting, and ongoing performance management of Harrow's specialty pharmacy network, including national and regional specialty pharmacy partners. Establish and monitor specialty pharmacy KPIs (fill rates, time-to-therapy, patient satisfaction, adherence metrics) and hold partners accountable to contractual service-level agreements. Collaborate with Trade and Distribution leadership to ensure seamless product flow from wholesaler to specialty pharmacy to patient. Ensure all specialty pharmacy operations are fully compliant with applicable federal and state regulations, company policies, and FDA guidelines. Serve as the primary point of escalation for specialty pharmacy operational issues, resolving barriers to patient access quickly and effectively. HUB Services and Patient Support Programs Own the design, vendor selection, contracting, and ongoing management of Harrow's HUB services platform, including patient support programs, benefits investigation, prior authorization support, appeals assistance, and adherence programs. Partner with Marketing and Medical Affairs to develop patient-facing materials, nurse educator programs, and support resources that enhance the patient experience and drive therapy initiation and adherence. Establish and monitor HUB performance metrics (case turnaround times, PA approval rates, patient enrollment, abandonment rates) and drive operational improvements with the HUB vendor. Ensure HUB programs are designed to address the unique access and reimbursement dynamics of ophthalmology, including in-office administered products and specialty pharmacy-dispensed therapies. Regional Pharmacy Program Build and manage a regional pharmacy program tailored to local market dynamics, ensuring patients in geographically diverse markets have access to Harrow's products through preferred local and regional pharmacy partners. Identify, evaluate, and contract with high-value regional pharmacy partners; develop customized account plans and support resources to drive program performance. Monitor regional pharmacy program metrics and trends; leverage data insights to optimize network coverage, patient access, and pharmacy engagement. Work closely with field-based market access and sales teams to align regional pharmacy strategies with local commercial priorities and payer environments. Prior Authorization Improvement Lead enterprise-wide prior authorization strategy, working with payer teams, HUB vendors, and field market access to minimize PA burden on providers and reduce time-to-therapy for patients. Develop and maintain a comprehensive PA landscape analysis across commercial and government payers, identifying coverage gaps, restrictive criteria, and appeal opportunities. Create and continuously update PA support tools for physicians and office staff (step edit guides, clinical summary letters, appeal templates, and medical exception forms) in close partnership with Medical Affairs. Implement PA tracking and reporting systems that provide real-time visibility into approval rates, denial trends, and appeal outcomes; use data to inform payer strategy and coverage improvement initiatives. Copay Program Management and Optimization Design, launch, and manage patient copay assistance programs across Harrow's portfolio, ensuring programs are structured to maximize patient affordability and market access impact. Partner with Finance and Legal/Compliance to establish copay program parameters, eligibility criteria, and benefit caps that are both commercially effective and compliant with all applicable regulations (including OIG guidance and CMS requirements), with clear business rules that safeguard program integrity against fraud, waste, and abuse. Select and manage copay program vendors and third-party administrators; negotiate contracts, establish performance standards, and conduct regular business reviews. Monitor copay program utilization, cost-effectiveness, and patient outcomes; adjust program design to capture optimization opportunities. Stay current on the copay accumulator and maximizer landscape; proactively develop strategies to protect program value and patient access as payer policies evolve. Market Access Communications Develop and lead market access communications strategy, creating clear, compelling, and compliant messaging that articulates Harrow's access solutions to payers, providers, pharmacy partners, and patients. Partner with Marketing, Medical Affairs, and Legal/Regulatory to develop and review market access materials including payer dossiers, reimbursement guides, access toolkits, and field training content. Develop educational content and communication strategies that proactively address payer coverage dynamics, PA requirements, and access program availability with healthcare professionals. Serve as a subject matter expert and strategic communications resource for cross-functional teams navigating complex reimbursement environments; translate technical reimbursement and policy issues into actionable guidance for commercial and medical teams. Qualifications & Requirements Bachelor's degree required; advanced degree (MBA, PharmD) preferred. 10+ years of progressive market access, patient services, or specialty pharmacy experience within pharmaceutical, biotech, or ophthalmology companies. Demonstrated experience designing and managing end-to-end access programs from vendor selection and contracting through performance management and optimization. Strong understanding of the complex reimbursement landscape for ophthalmology, including buy-and-bill, specialty pharmacy-dispensed products, J-Code reimbursement, and Commercial/Medicare/Medicaid dynamics (strongly preferred). Exceptional cross-functional collaboration skills; able to influence and align Commercial, Medical Affairs, Legal/Compliance, and Finance stakeholders. Analytical mindset with experience developing and monitoring KPIs, interpreting program data, and driving data-informed decisions. Outstanding written and verbal communication skills; demonstrated ability to translate complex market access concepts into clear, actionable messaging for diverse audiences. Position Details Position Type Remote Travel Up to 50% Apply To This Job Apply tot his job Apply To this Job