[Hiring] Access Care Manager @Pfizer

Role Description

As part of Pfizer Specialty Care, this individual will report to the Regional Director, Patient Access & Reimbursement. The Access Care Manager (ACM) serves as a field-based access leader responsible for integrating patient journey ownership, reimbursement expertise, and account-level strategy to ensure appropriate patient access. This role combines high-touch patient engagement with advanced subject matter expertise in reimbursement, payer policy, and coverage strategy, acting as a trusted partner to healthcare providers and internal stakeholders.

Responsibilities

• Patient Journey Leadership & Case Management
  • Serve as the primary point of contact for consented patients across the treatment journey from enrollment through therapy initiation and continuation.
  • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers to access for consented patients.
  • Assist in coordinating care across healthcare providers, caregivers, and sites of care to ensure continuity and timely progression to therapy for consented patients.
  • Maintain accountability for end-to-end patient progression, ensuring proactive identification and resolution of barriers.
• Reimbursement Subject Matter Expertise
  • Act as a field-based expert on reimbursement, coverage pathways, and payer policy impacting Pfizer therapies.
  • Provide guidance on the prior authorization process, step edits, coding, and payer-specific requirements.
  • Support the resolution of reimbursement challenges through appropriate escalation and coordination.
• HCP Education & Training
  • Deliver compliant education on reimbursement processes, coverage pathways, and patient access resources.
  • Improve access efficiency through hub services, enrollment processes, and financial assistance programs.
• Account-Level Strategy & System Optimization
  • Develop and execute account-level access strategies to improve patient access at scale.
  • Identify systemic barriers and implement solutions to optimize workflows and assist in reducing delays in therapy initiation.
• Payer Interaction & Access Resolution
  • Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges.
  • Facilitate communication between HCP offices, payers, and patient support programs to ensure efficient navigation of the reimbursement process.
• Internal Strategic Influence & Market Insights
  • Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.
  • Support development of cross-functional strategies by translating field insights into recommendations.
  • Demonstrate a high degree of business acumen and deep understanding of market dynamics and drivers in the Access space and accounts.
• Cross-Functional & Commercial Alignment
  • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.
  • Participate in account planning and contribute to coordinated, patient-centric approaches to access.

Qualifications

• 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions; 9 with Masters, BSN or RPH.
• Minimum 3–5 years of Specialty Pharma experience, preferably within the Pharmaceutical/Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency.
• Reimbursement and Access experience is a must; experience in the Cardiology sector is preferred.
• Strong understanding of Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the Specialty policy dynamics that exist in the Rare Disease Community.
• Exceptional communication and presentation skills, strategic planning, and success in implementation of plans.
• Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures.
• Fluent in English and Spanish.

Requirements

• Operate a Pfizer company car and regularly travel by air to attend external meetings and conferences.
• Travel to HCP offices as needed; approximately 30% travel expected.
• Proximity to a major airline hub is required.

Benefits

• Annual base salary ranges from $116,000.00 to $193,400.00.
• Eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 15.0% of the base salary.
• Comprehensive benefits including a 401(k) plan with Pfizer Matching Contributions and additional Pfizer Retirement Savings Contribution.
• Paid vacation, holiday, and personal days.
• Paid caregiver/parental and medical leave.
• Health benefits including medical, prescription drug, dental, and vision coverage.