
Field Reimbursement Manager I
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Maryland, +3 more states.
• Conduct office visits with healthcare professionals (HCPs) and office staff to facilitate appropriate patient access to Pfizer products.
• Address questions related to reimbursement and coverage.
• Provide both in-person and virtual education regarding payer landscapes, coverage and formulary updates, payer policies, and patient support.
• Distribute Pfizer-approved materials on reimbursement and coverage.
• Educate HCPs and office personnel on Hub financial assistance options, enrollment procedures, portals, and brochures.
• Collaborate with Pfizer patient access and support programs to comprehend payer requirements for individual patients.
• Respond to prescription-status inquiries for patients enrolled in Pfizer access and support programs.
• Utilize Pfizer’s designated case notes system in compliance with regulations.
• Act as a subject matter expert on reimbursement and coverage matters impacting Pfizer products in the designated regions.
• Ensure appropriate patient access to prescribed Pfizer products.
• Provide internal Pfizer leadership with analytical insights and local market information regarding reimbursement challenges.
• Communicate in compliance with stakeholders to influence ideas and actions without direct authority.
• Connect customer insights with offerings and resources aimed at overcoming patient access obstacles.
• Foster trust through consistent follow-up and comprehensive knowledge of the access journey.
• Conduct live customer interactions, necessitating approximately 50% travel.
• Support the territory, which includes Pittsburgh, Harrisburg, Scranton, Lancaster, York, Erie, State College, Bethesda, Silver Spring, and Charleston WV.
• A minimum of 7 years of experience in the pharmaceutical industry, typically in pharmaceutical sales and/or coding and reimbursement.
• Experience in Reimbursement and Access is advantageous.
• 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 Bachelor of Science (B.S.) or Bachelor of Arts (B.A.) degree is required.
• Excellent communication and presentation skills.
• Experience in strategic planning and successful implementation of plans.
• Proven leadership skills and a record of success in cross-boundary collaboration.
• Ability to work collaboratively with multiple relevant stakeholders.
• Capacity to operate in a highly regulated environment while adhering to strict compliance guidelines and procedures.
• Demonstrated track record of collaborating with a diverse range of customers, clients, and stakeholders.
• Training and experience in responsible business communication, both written and verbal.
• A valid U.S. driver’s license and a driving record that meets company standards.
• A wide array of leadership experiences, including influencing and collaborating with peers, developing and coaching others, and guiding colleagues.
• Must reside within the designated territory boundaries.
• 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.
• Additional certification in coding and reimbursement is preferred but not mandatory.
• Knowledge or certification in coding and billing is a plus but not required.
• Bonus target of 17.5% of base salary through Pfizer’s Global Performance Plan.
• Eligibility to participate in Pfizer’s share-based long-term incentive program.
• 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.
• Relocation assistance may be available based on business needs and/or eligibility.
Health Advocate
Astreya
Mitsubishi Motors North America, Inc.
Sitetracker
Get handpicked remote jobs straight to your inbox weekly.