Dedicated Care Coordinator – Secondment

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

📋 Description

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

• Oversee and enhance the patient journey from HUB enrollment to post-fill follow-up.

• Take ownership of 100% of assigned cases within the specified geographic area.

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

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

• Aid in prior authorization submissions, verifications, appeals, and associated deadlines.

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

• Confirm product and baseline-test coverage across PBM and major medical insurance for VFM.

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

• Manage Interim Care, extended Interim Care, vouchers, copay cards, and copay eligibility attestations.

• Prioritize voucher, paid prescription, and Interim Care fills within Polaris.

• Conduct follow-ups after prescriptions at 10 and 45 days.

• Maintain case records, documentation, secure messages, texting, faxing, prescription triage, and patient consents.

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

• Report adverse events and adhere to company compliance, safety, confidentiality, and content-control regulations.

• Utilize approved materials to communicate access options and address barriers to patient access.

• Foster trust through compliant follow-up and responsible verbal and written communication.

⛳️ Requirements

• B.S. or B.A. Degree.

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

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

• Proven ability to communicate effectively 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 interim care programs.

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

• Meet adverse event reporting responsibilities with regular direct patient contact.

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

• Ability to communicate and collaborate compliantly with cross-functional field-based colleagues.

• Align with HQ stakeholders to enhance patient access.

• Flexibility to work across varying time zones when necessary.

• Willingness to travel approximately 10% to 20%.

• Candidates must be authorized 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.

• Preferred: experience in patient/customer-facing access and reimbursement education.

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

• Preferred: HUB experience.

• Preferred: experience with Kiteworks or similar encrypted email, DocuSign, and copay portal management.

• Preferred: experience collaborating with third-party vendors on patient assessment, testing, or specialty pharmacy logistics.

• Preferred: experience providing support for Interim Care, free goods, or bridge programs.

• Preferred: familiarity with pharmacy benefit and major medical benefit coverage pathways.

• Excellent written and verbal communication abilities.

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

• Strong attention to detail and organizational capabilities.

• Outstanding critical thinking skills.

• Knowledge of specialty pharmaceuticals and patient journeys.

• Commitment to regulatory and compliance standards.

🏝️ Benefits

• Remote employees work from home five days a week, or are field-based colleagues not affiliated with a Pfizer location.

• Approximately 10% to 20% travel opportunities.

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

• Equal opportunity employer.

• Accessibility assistance for the website, application process, and interviews.