Access Care Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main point of contact for enrolled patients from the time of enrollment through the initiation and continuation of therapy.

• Perform needs assessments for patients that address coverage, affordability, and logistical challenges.

• Coordinate care among healthcare providers, caregivers, and various care locations.

• Ensure accountability for the complete patient progression and resolve any access obstacles.

• Offer field-based expertise regarding reimbursement, coverage pathways, and payer policies affecting Pfizer therapies.

• Assist with prior authorization, step edits, coding, and specific requirements from payers.

• Elevate and coordinate the resolution of reimbursement issues.

• Provide compliant education on reimbursement processes, coverage pathways, patient access resources, hub services, enrollment procedures, and financial assistance programs.

• Develop and implement access strategies at the account level.

• Identify systemic barriers and enhance workflows to minimize therapy initiation delays.

• Engage payer organizations to clarify coverage policies and resolve access issues.

• Facilitate communication among healthcare provider offices, payers, and patient support programs.

• Share insights with internal stakeholders regarding payer trends, reimbursement challenges, and access restrictions.

• Convert field insights into recommendations for cross-functional strategies.

• Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams.

• Take part in account planning and coordinated patient-centric access strategies.

• Report directly to the Regional Director of Patient Access & Reimbursement.

⛳️ Requirements

• A minimum of 8 years of experience in pharmaceutical or related customer-facing roles; 9 years if holding a Master's, BSN, or RPH degree.

• At least 3–5 years of experience in Specialty Pharma.

• Required experience in Reimbursement and Access.

• Preferred experience in the Pharmaceutical/Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agencies.

• Experience in the Cardiology field is preferred.

• Strong knowledge of Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and Specialty policy dynamics within the Rare Disease Community.

• Exceptional communication and presentation abilities.

• Proven skills in strategic planning and successful execution of plans.

• Demonstrated leadership capabilities and the ability to collaborate across internal boundaries with multiple stakeholders.

• Ability to work in a highly regulated environment while adhering to strict company compliance guidelines and procedures.

• Proven collaboration experience with diverse customers, clients, and stakeholders.

• Training and experience in responsible business communication, both written and verbal.

• Fluency in English and Spanish is required.

• Proximity to a major airline hub is necessary.

• Candidates must be authorized to work in the U.S. by any employer.

• Permanent work authorization in the United States is required.

• U.S. work visa sponsorship is not available at this time or in the future.

• Ability to operate a Pfizer company vehicle and travel by air regularly.

• Approximately 30% travel required; travel to healthcare provider offices as needed.

🏝️ Benefits

• Participation in the Pfizer Global Performance Plan with a bonus target of 15.0% of base salary.

• Share-based long-term incentive program.

• 401(k) plan with Pfizer matching contributions.

• Additional Pfizer Retirement Savings Contributions.

• Paid vacation, holidays, and personal days.

• Paid caregiver/parental and medical leave.

• Comprehensive medical, prescription drug, dental, and vision coverage.

• Relocation assistance may be offered based on business needs and/or eligibility.

• Provision of a Pfizer company vehicle.