Verify product and baseline-test coverage across PBM and major medical insurance for VFM
Coordinate patient appointments, baseline assessments, testing, and vendor communications
Administer Interim Care, extended Interim Care, vouchers, copay cards, and copay eligibility attestations
Triage voucher, paid prescription, and Interim Care fills within Polaris
Conduct post-prescription follow-up at 10 and 45 days
Manage case records, documentation, secure messages, texting, faxing, prescription triage, and patient consents
Coordinate with HUB partners, Pfizer colleagues, Patient Support Program/HUB employees, and third-party vendors
Report adverse events and follow company compliance, safety, confidentiality, and content-control requirements
Use approved materials to communicate access options and address patient access barriers
Build trust through compliant follow-up and responsible written and spoken communication
Requirements:
B.S. or B.A. Degree
8+ years of pharmaceutical (or related) experience in customer-facing roles/functions
Experience as an FRM, PAC, ACM, FAS, or working experience within access and reimbursement
Demonstrated ability to communicate directly with patients, providers, and cross-functional colleagues
Proficiency conducting benefit investigation and verification directly with payers
Working knowledge of prior authorization and appeals processes
Working knowledge of copay programs, copay maximizers and accumulators, vouchers, and free or interim care programs
Ability to own a high volume of concurrent cases with disciplined documentation and follow-through
Ability to meet adverse event reporting obligations with frequent, direct patient contact
Strong understanding 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
Alignment with HQ stakeholders to support patient access
Flexibility to work across different time zones if needed
Ability to travel approximately 10% to 20%
Candidates must be authorized to be employed 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
Nice-to-have: patient/customer-facing access and reimbursement education experience
Nice-to-have: proficiency in Polaris, including case management, documentation, prescription triage, and interpretation of PA, appeal, and patient enrollment documents
Nice-to-have: HUB experience
Nice-to-have: experience with Kiteworks or comparable encrypted email, DocuSign, and copay portal administration
Nice-to-have: experience coordinating with third-party vendors on patient assessment, testing, or specialty pharmacy logistics
Nice-to-have: experience supporting Interim Care, free goods, or bridge programs
Nice-to-have: experience with pharmacy benefit and major medical benefit coverage pathways
Excellent written and verbal communication skills
Exceptional relationship-building skills, especially with elderly age groups
Strong attention to detail and organizational skills
Exceptional critical thinking skills
Understanding of specialty pharmaceuticals and patient journeys
Adherence to regulatory and compliance standards
Benefits:
Remote colleagues work from home 5 days a week or are field-based colleagues not affiliated with a Pfizer site
Approximately 10% to 20% travel opportunity
Relocation assistance may be available based on business needs and/or eligibility
Equal opportunity employment
Accessibility assistance for the website, application process, and interviewing