[Hiring] Field Reimbursement Manager I & I @Pfizer

Role Description

As part of Pfizer North America, this individual will report directly to the I&I Access & Reimbursement Regional Director. The Field Reimbursement Colleague will perform their duties under the strategic vision of the Pfizer Business Units’ overarching access and reimbursement plan and compliance standards.

• Conduct office calls with HCPs and office staff that have a need for support to enable appropriate patient access to Pfizer products, including assistance in resolving reimbursement and coverage questions.
• Provide in-person and virtual education for HCPs/office staff regarding local/regional payer landscape, payer coverage and formulary change updates, payer policies (e.g., prior authorization, step edits, specialty pharmacy coverage) and patient support.
• Distribute Pfizer RC-approved materials to HCPs/office staff relating to coverage and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides.
• Provide education for HCPs/office staff regarding Hub financial assistance offerings, enrollment process, Hub HCP portal(s), and other Hub financial assistance brochures.
• Coordinate with Pfizer patient access and support programs (HUB) as needed to understand payer requirements for individual patients.
• Address questions about the prescription status of patients enrolled in Pfizer patient access and support programs.
• Compliantly use Pfizer’s designated case notes system.
• The Field Reimbursement Manager is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions.
• Provide interpretive information and local market insights to relevant internal Pfizer leadership as to the impact of potential reimbursement issues.
• Exhibit strong communication, organizational, and relationship skills to be effective with a host of diverse customers.
• Conduct themselves with the utmost discretion and confidentiality.
• Adhere to strict company compliance guidelines and procedures.
• Effectively and compliantly communicate with stakeholders to adopt ideas, actions, or positions through logical and engaging messages without direct authority.
• Effectively link customer insights to the offerings and resources to address patient access barriers.
• Build trust through follow-up and knowledge of the access journey.
• Demonstrate excellence in responsible business communication in both written and spoken communications.

Qualifications

• Minimum 7+ years pharmaceutical industry experience typically within the fields of pharmaceutical sales and/or coding and reimbursement.
• Reimbursement and Access experience is a plus.
• Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the policy dynamics that exist across the various Pfizer Business Units/Brands.
• B.S. or B.A. degree is required.
• Experience demonstrating exceptional communication and presentation skills, strategic planning, and successful plan implementation.
• Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures.
• Proven track record of collaborating broadly with a diverse range of customers, clients, and stakeholders.
• Training in and experience in responsible business communication both written and spoken.
• Valid US driver’s license and a driving record in compliance with company standards.
• Must reside in territory boundaries.
• Travel requirement: 50% for live customer interactions.

Requirements

• Candidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
• Additional certification in coding and reimbursement is preferred but not required.
• Coding and billing knowledge or certification a plus but not required.

Benefits

• The annual base salary for this position ranges from $139,100.00 to $231,900.00.
• This position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of the base salary.
• Eligibility to participate in our share based long term incentive program.
• Comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments.
• Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution.
• Paid vacation, holiday and personal days, paid caregiver/parental and medical leave.
• Health benefits to include medical, prescription drug, dental and vision coverage.