Field Reimbursement Manager

This is a fully remote position, open to applicants in Kentucky, +1 more state.

📋 Description

• Conduct office visits with healthcare professionals (HCPs) and their staff to facilitate appropriate patient access to Pfizer products.

• Address reimbursement and coverage inquiries.

• Provide both in-person and virtual education regarding payer landscapes, coverage and formulary updates, payer policies, specialty pharmacy coverage, and patient support.

• Distribute Pfizer-approved materials related to coverage and reimbursement, including Patient Assistance Programs and billing and coding guides.

• Educate HCPs and office personnel on Hub financial assistance options, enrollment procedures, Hub HCP portals, and associated materials.

• Collaborate with Pfizer patient access and support programs to comprehend payer requirements for individual patients.

• Respond to prescription-status inquiries for patients engaged in Pfizer access and support programs.

• Utilize Pfizer’s designated case notes system in compliance with guidelines.

• Act as the subject matter expert on reimbursement and coverage matters impacting Pfizer products within designated regions.

• Enable appropriate patient access to prescribed Pfizer products.

• Provide internal Pfizer leadership with interpretive insights and local market information on reimbursement challenges.

• Communicate within compliance to various stakeholders and influence decisions without direct authority.

• Connect customer insights to resources addressing patient access challenges.

• Build trust through follow-up and understanding of the access journey.

• Engage in live customer interactions, necessitating approximately 50% travel.

⛳️ Requirements

• A minimum of 7+ years of experience in the pharmaceutical industry, typically in pharmaceutical sales and/or coding and reimbursement.

• Strong knowledge of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and policy dynamics across Pfizer Business Units/Brands.

• A B.S. or B.A. degree is mandatory.

• Outstanding communication and presentation abilities.

• Experience with strategic planning and successful execution of plans.

• Proven leadership skills and ability to traverse internal boundaries.

• Capacity to collaborate with multiple relevant stakeholders to achieve unique goals.

• Capability to function in a highly regulated environment while adhering to strict company compliance protocols.

• Demonstrated success in working with diverse customers, clients, and stakeholders.

• Training and experience in responsible business communication, both written and verbal.

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

• Ability to influence and collaborate with peers, mentor and guide others, and oversee colleagues’ work.

• Must reside within the designated territory boundaries.

• Must be authorized for employment in the U.S. by any employer.

• Permanent work authorization in the United States is required.

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

• Additional certification in coding and reimbursement is preferred but not mandatory.

• Knowledge or certification in coding and billing is advantageous but not required.

🏝️ Benefits

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

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

• 401(k) plan featuring Pfizer Matching Contributions.

• Additional Pfizer Retirement Savings Contribution.

• Paid vacation, holidays, and personal days.

• Paid caregiver/parental and medical leave.

• Comprehensive medical, prescription drug, dental, and vision coverage.

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