Senior Director of Product, Coverage at Phil · LumiJobs

Responsibilities

We're hiring a Senior Director of Product, Coverage to own coverage at PHIL end to end: the coverage engine (real-time benefit verification, prior authorization, and plan-specific appeals) and the product foundation it runs on, including the EHR, payer, and partner integrations that make it work. This is a general manager role with full ownership of outcomes and the freedom to pivot as we learn. It is not a project management or delivery-coordination role.
You'll decide what we build, what we buy, and which partners we connect to, always in service of one question: how many more patients get covered and start therapy, and how quickly. Coverage determines how fast we can bring on new therapies and how well we serve patients, so this role is central to PHIL's growth and launch success right now.
You'll report to the Vice President of Product Management and work closely with Business Development, Engineering, Design, and Pharmacy Operations. You'll lead strategy, requirements, and prioritization, while those teams bring the partner relationships, technical build, user experience, and operational expertise.
This is initially a hands-on, senior-level individual contributor role without direct reports. As the business and function scale, there may be opportunities to build and lead a team based on evolving business needs.
Business outcomes: Own the business outcomes of coverage, not just the features. That means (1) growth and coverage performance, (2) new capabilities, and (3) expansion into new therapeutic areas. You own delivery and success: not only what gets built, but how it works in the real world and whether it moves the numbers.
Business strategy: Be a strategic partner who informs and molds PHIL's business strategy. You push back when needed, bring solutions rather than just problems, and help the business focus.
Coverage strategy and roadmap: Own the end-to-end roadmap for coverage: benefit verification, prior authorization, and appeals. Tie it to PHIL's business strategy and to measurable patient-start outcomes.
The coverage funnel: Understand every step from prescription to approved therapy start, find where patients and prescribers drop out, and prioritize the highest-leverage fixes rather than relying on averages.
Prescriber (HCP) experience: Make coverage tasks happen where prescribers already work, through the EHR, minimizing HCP effort and friction. Be rigorous about how prescribers really behave today and why they would choose our workflow over alternatives.
Integrations and product foundation: Own the roadmap for external integrations (EHRs, payers and plans, third-party providers) and the platform capabilities beneath them, with a clear point of view on build vs. buy, with speed and quality as the test.
Competitive and partner landscape: Maintain an honest view of the competitive landscape and PHIL's strengths and gaps, with a plan to close them. Manage partnerships to secure the right level of access and execution, and drive a well-executed payer and network adoption plan.
Metrics and operational KPIs: Set long-term success metrics, KPIs, and SLAs for coverage and integrations, and report on them to leadership.

Senior Director of Product, Coverage

Responsibilities

Qualification

Preferred

Benefits

Company

Phil

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