Case Coordinator

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

📋 Description

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

• Act as the primary contact for patients, caregivers, and healthcare providers regarding reimbursement and access support.

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

• Perform benefits investigations and verifications, including communications with payers and patients.

• Manage the prior authorization and appeals processes.

• Coordinate patient appointments, baseline assessments, testing, and communication with vendors.

• Administer various programs such as Interim Care, vouchers, copay, and financial assistance.

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

• Follow up with patients at 10 and 45 days after prescriptions are filled.

• Manage and update case records in Polaris, including texting, faxing, prescription triage, and documentation.

• Collaborate with HUB partners and coordinate cases with Pfizer colleagues and Patient Support Program/HUB staff.

• Maintain real-time comments on cases and oversee encrypted email and DocuSign consent processes.

• Report adverse events in compliance with company regulations.

• Communicate in a compliant manner with patients, caregivers, and healthcare providers.

• Work cross-functionally to enhance the patient access journey and tackle access barriers.

• Uphold discretion, confidentiality, and adherence to company compliance standards.

⛳️ Requirements

• Bachelor’s degree (B.S. or B.A.).

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

• Minimum of 6 months as a FRM, PAC, FAS, or equivalent experience in access and reimbursement with proficiency in the Polaris CRM system.

• Working proficiency in Polaris including case management, documentation, prescription triage, and understanding of PA, appeal, and PEF documentation.

• Proven ability to communicate effectively with patients, providers, and cross-functional colleagues.

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

• Knowledge 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 an average patient journey of approximately 20 days.

• Capability to fulfill adverse event reporting obligations in a role with frequent direct patient interaction.

• Strong understanding 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.

• Permanent work authorization in the United States.

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

• Willingness to travel 10% to 20% as needed.

• Ability to work across Eastern or Central time zones if required.

🏝️ Benefits

• 401(k) plan with Pfizer Matching Contributions.

• Additional Pfizer Retirement Savings Contribution.

• Paid vacation, holidays, and personal days.

• Paid caregiver/parental leave and medical leave.

• Comprehensive 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.

• Opportunity for remote work from home 5 days a week.