Care Coordinator – Secondment

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

📋 Description

• Assist patients in accessing PDPA and VFM products as prescribed by licensed healthcare professionals.

• Take ownership of the ongoing management and development of each patient’s journey from HUB enrollment to post-fill follow-up.

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

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

• Facilitate prior authorization and appeals processes.

• Organize appointments, baseline assessments, testing, and vendor communications.

• Manage Interim Care, voucher, copay, and reimbursement programs.

• Triage prescriptions, vouchers, paid prescriptions, and Interim Care fills within Polaris.

• Reach out to patients 10 and 45 days after prescription to address logistical or financial inquiries.

• Oversee and update cases, documentation, comments, secure messages, encrypted emails, and DocuSign consents.

• Share and coordinate cases with HUB partners and Pfizer colleagues.

• Report adverse events in compliance with company policies.

• Communicate access options in a compliant manner using approved materials.

• Collaborate cross-functionally with internal and external colleagues to enhance patient access.

• Establish trust through compliant follow-up and a deep understanding of the access journey.

⛳️ Requirements

• Bachelor's degree (B.S. or B.A.).

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

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

• Proven ability to communicate 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.

• Capacity to manage a high volume of concurrent cases with disciplined documentation and follow-up.

• Capability to meet adverse event reporting requirements.

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

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

• Alignment with HQ stakeholders to facilitate patient access.

• Experience in a patient- and/or customer-facing role that necessitates access and reimbursement education.

• Proficient in Polaris, including case management, documentation, prescription triage, and interpretation of PA, appeal, and patient enrollment documents.

• Experience working with a HUB.

• Familiarity with Kiteworks or similar encrypted email platforms, DocuSign, and copay portal management.

• Experience coordinating with third-party vendors for patient assessment, testing, or specialty pharmacy logistics.

• Experience supporting Interim Care, free goods, or bridge programs.

• Knowledge of both pharmacy benefit (PBM) and major medical benefit coverage pathways.

• Excellent written and verbal communication skills.

• Exceptional relationship-building abilities, particularly with elderly populations.

• Strong attention to detail and organizational capabilities.

• Exceptional critical-thinking skills.

• Ability to comprehend complex processes and communicate effectively with diverse patient communities.

• Outstanding collaboration and networking skills.

• Capacity to work effectively in a team environment.

• Understanding of specialty pharmaceuticals and patient journeys.

• Compliance with regulatory and compliance standards.

• Flexibility to work across various time zones if necessary.

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

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

• Position requires permanent work authorization in the United States.

🏝️ Benefits

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

• There is an opportunity for approximately 10% to 20% travel.

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

• Full-time employment.