Care Coordinator – Secondment

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

📋 Description

• Take full ownership of all assigned patient cases, overseeing 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 investigations and verifications, including calls with payers and patients.

• Clarify out-of-pocket expenses, deductibles, copays, reimbursement programs, maximizers, and accumulators.

• Confirm product and baseline-test coverage with pharmacy benefit managers and major medical insurance.

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

• Organize appointments, baseline assessments, patient testing, and provider confirmations.

• Oversee Interim Care, extended Interim Care, voucher, and copay programs.

• Handle vouchers, paid prescriptions, and Interim Care fills in Polaris.

• Conduct follow-ups on prescriptions at 10 and 45 days post-issue.

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

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

• Manage patient consents via DocuSign and communication through Kiteworks encrypted email.

• Report adverse events while adhering to company safety, regulatory, confidentiality, and content-control standards.

• Work across departments to enhance the patient access journey and resolve access challenges.

⛳️ Requirements

• Bachelor's degree (B.S. or B.A.).

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

• Background as an FRM, PAC, ACM, FAS, or experience in access and reimbursement.

• Proven experience communicating directly with patients, providers, and cross-functional teams.

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

• Familiarity with prior authorization and appeals processes.

• Knowledge of copay programs, copay maximizers and accumulators, vouchers, and free or interim care programs.

• Capability to manage a high volume of concurrent cases with thorough documentation and follow-through.

• Ability to fulfill adverse event reporting requirements.

• Strong understanding of reimbursement, government payment systems, specialty pharmacy networks, copay assistance programs, and specialty medications.

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

• Alignment with headquarters stakeholders regarding patient access.

• Excellent written and verbal communication abilities.

• Outstanding relationship-building skills, particularly with elderly populations.

• Trustworthiness, integrity, empathy, and patience.

• Strong presentation, attention to detail, organizational, critical thinking, collaboration, and networking skills.

• Ability to work effectively in a team environment.

• Understanding of specialty pharmaceuticals and patient journeys.

• Commitment to regulatory and compliance standards.

• Flexibility to work across various time zones if necessary.

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

• This position requires permanent work authorization in the United States.

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

🏝️ Benefits

• Remote colleagues have the opportunity to work from home 5 days a week.

• Travel requirements are approximately 10% to 20%.

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

• Equal opportunity employment.

• Accessibility support available for the application process and interviews.