Care Manager – ENDO/IG Access

This is a fully remote position, open to applicants in New York, +4 more states.

📋 Description

• Act as the main contact for consented patients throughout the phases of enrollment, therapy initiation, and ongoing treatment.

• Perform assessments of patient needs to address issues related to coverage, affordability, and access to logistics.

• Facilitate coordination of care among healthcare providers, caregivers, and care locations.

• Ensure accountability for the entire patient journey and proactively address any obstacles.

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

• Advise healthcare providers on prior authorizations, step edits, coding, and requirements specific to payers.

• Escalate and assist in the resolution of reimbursement issues.

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

• Formulate and implement access strategies at the account level.

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

• Engage with payer organizations to clarify coverage policies and overcome access challenges.

• Facilitate communication between HCP offices, payers, and patient support initiatives.

• Supply internal stakeholders with insights on payer trends, reimbursement challenges, and access barriers.

• Convert field insights into actionable recommendations for cross-functional teams.

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

• Participate in account planning and collaborative patient-centric access strategies.

⛳️ Requirements

• A minimum of 8 years of experience in pharmaceutical or related customer-facing roles, or 9 years with a Master’s, BSN, or RPh.

• At least 1 year of experience in an Access and Reimbursement support position.

• A minimum of 3–5 years of experience in Specialty Pharma, ideally within pharmaceutical/biopharmaceutical sectors, provider/carrier networks, or governmental agencies.

• Required experience in Reimbursement and Access.

• Preferred experience in Endocrinology or the Immunoglobulin sector.

• Strong comprehension of reimbursement, government payment systems, provider/carrier networks, co-pay assistance programs, and specialty policy dynamics within the rare disease community.

• Exceptional skills in communication and presentation.

• Proven strategic planning capabilities and successful execution of plans.

• Demonstrated leadership skills and ability to work collaboratively across internal boundaries while coordinating multiple stakeholders.

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

• Proven ability to collaborate with a diverse range of customers, clients, and stakeholders.

• Training and experience in professional written and verbal business communication.

• A valid U.S. driver’s license and a driving record that meets company standards.

• Any DUI/DWI or impaired-driving citation within the last 7 years will disqualify the candidate.

• Must reside within the geographic area or within 25 miles of territory boundaries.

• Willingness to travel approximately 30%, including air travel, overnight stays, and visits to HCP offices as required.

• Must be authorized to work in the U.S. for any employer.

• Requires permanent work authorization in the United States.

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

🏝️ Benefits

• 401(k) plan with Pfizer Matching Contributions.

• Additional Pfizer Retirement Savings Contribution.

• Paid vacation.

• Paid holidays.

• Paid personal days.

• Paid caregiver/parental leave.

• Paid medical leave.

• Medical coverage.

• Prescription drug coverage.

• Dental coverage.

• Vision coverage.

• Participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of base salary.

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

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

• Pfizer company car.