Care Coordinator

This is a fully remote position, open to applicants in Colorado, +5 more states.

📋 Description

• Take full ownership of assigned cases and guide the patient journey from HUB enrollment to post-fill follow-up.

• Act as the main point of contact for patients, caregivers, and healthcare providers concerning reimbursement and access support.

• Provide education to patients, caregivers, and healthcare providers about reimbursement, access, and coverage.

• Perform benefits investigation and verification, including consultations with payers and patients.

• Analyze benefits, out-of-pocket expenses, deductibles, copay options, maximizers, and accumulators.

• Manage prior authorization submissions, verification, and support for appeals.

• Organize appointments, baseline assessments, testing, and communications with vendors.

• Implement Interim Care, extended Interim Care, vouchers, and copay assistance programs.

• Triage voucher, paid prescription, and Interim Care fills within the Polaris system.

• Execute post-prescription follow-up at 10 and 45 days.

• Oversee case documentation, texting, faxing, prescription triage, and secure messaging in Polaris.

• Review documentation for prior authorization, appeals, and Patient Enrollment Forms.

• Collaborate with HUB partners, Pfizer colleagues, Patient Support Program/HUB staff, and third-party vendors.

• Keep real-time case comments and acquire patient consents via Docusign.

• Report adverse events and adhere to company compliance, safety, confidentiality, and communication protocols.

• Collaborate cross-functionally to enhance the patient access journey and resolve access barriers.

⛳️ Requirements

• B.S. or B.A. Degree.

• Over 8 years of experience in pharmaceutical or related industries in customer-facing roles/functions.

• At least 6 months in a FRM, PAC, FAS, or similar position, with access and reimbursement experience and familiarity with the Polaris CRM System.

• Proficient working knowledge of Polaris, including case management, documentation, prescription triage, and the interpretation of PA, appeal, and PEF documentation.

• Capability to communicate directly with patients, providers, and cross-functional team members.

• Experience in conducting benefit investigations and verifications directly with payers.

• Solid understanding of prior authorization and appeals processes.

• Familiarity with copay programs, copay maximizers and accumulators, vouchers, and free or interim care programs.

• Ability to manage a high volume of concurrent cases throughout a patient journey averaging around 20 days.

• Capacity to fulfill adverse event reporting requirements.

• Strong comprehension of Reimbursement, Government Payment Systems, Specialty Pharmacy Networks, Co-Pay Assistance Programs, and Specialty Medication.

• Appropriate and compliant communication and collaboration with cross-functional field-based colleagues.

• Alignment with HQ stakeholders to facilitate patient access.

• Flexibility to work across various time zones if necessary.

• Candidates must have authorization to work in the U.S. for any employer.

• Permanent work authorization in the United States is required.

• U.S. work visa sponsorship is not available now or in the future.

• Approximately 10% to 20% travel is expected.

🏝️ Benefits

• 401(k) plan with Pfizer Matching Contributions.

• Additional Pfizer Retirement Savings Contribution.

• Paid vacation, holidays, and personal days.

• Paid caregiver/parental and medical leave.

• Medical, prescription drug, dental, and vision coverage.

• Bonus target of 20.0% of base salary through Pfizer’s Global Performance Plan.

• Eligibility to participate in Pfizer’s share-based long-term incentive program.

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

• Option for remote work from home 5 days a week for remote colleagues.