Job Description:

• Support patients’ access to PDPA and VFM products prescribed by licensed healthcare providers
• Manage and progress the patient journey from HUB enrollment through post-fill follow-up
• Own 100% of assigned cases across the designated geography
• Serve as the primary contact for patients/caregivers and healthcare providers regarding reimbursement and access support
• Conduct benefits investigations and verification, including calls with payers and patients
• Support prior authorization submissions, verification, appeals, and related deadlines
• Explain benefits, out-of-pocket costs, deductibles, copays, reimbursement programs, maximizers, and accumulators
• 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