Field Reimbursement Manager I

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

📋 Description

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

• Address inquiries regarding reimbursement and coverage.

• Offer both in-person and virtual education on payer landscapes, coverage and formulary updates, payer policies, and patient support services.

• Distribute Pfizer-approved materials related to coverage and reimbursement, including information on patient assistance programs and billing/coding guides.

• Inform HCPs and office staff about Hub financial assistance options, enrollment processes, portals, and brochures.

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

• Resolve prescription-status inquiries for patients enrolled in Pfizer access and support initiatives.

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

• Act as a subject matter expert on reimbursement and coverage matters concerning Pfizer products in designated regions.

• Provide interpretive insights and local market intelligence to Pfizer leadership regarding reimbursement challenges.

• Engage compliantly with a diverse range of stakeholders and influence decision-making without direct authority.

• Connect customer insights to offerings and resources that address barriers to patient access.

• Establish trust through consistent follow-up and thorough knowledge of the access journey.

• Conduct live customer interactions, dedicating approximately 50% of working hours to these activities.

⛳️ Requirements

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

• A B.S. or B.A. degree is required.

• Experience in Reimbursement and Access is advantageous.

• Strong comprehension of specialty drug reimbursement, government payment systems, provider/carrier networks, co-pay assistance programs, and policy dynamics across Pfizer business units/brands.

• Outstanding communication and presentation abilities.

• Experience in strategic planning and executing successful plans.

• Proven leadership skills and the ability to collaborate across internal boundaries with multiple stakeholders.

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

• Demonstrated collaboration with a wide 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.

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

• Must reside within designated territory boundaries.

• Authorized to work in the U.S. by any employer.

• Permanent work authorization in the U.S. 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.

🏝️ Benefits

• Pfizer Global Performance Plan bonus target of 17.5% of base salary.

• 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 and medical leave.

• Coverage for medical, prescription drugs, dental, and vision.

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