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Dedicated Care Coordinator – Secondment
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
