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.
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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.
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Provide in-person and virtual education for HCPs/office staff regarding:
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Local/regional payer landscape
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Payer coverage and formulary change updates
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Payer policies (e.g., prior authorization, step edits, specialty pharmacy coverage)
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Patient support
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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.
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Provide education for HCPs/office staff regarding:
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Hub financial assistance offerings
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Enrollment process
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Hub HCP portal(s)
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Other Hub financial assistance brochures
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Coordinate with Pfizer patient access and support programs (HUB) as needed to understand payer requirements for individual patients.
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Address questions about the prescription status of patients enrolled in Pfizer patient access and support programs.
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Compliantly use Pfizer’s designated case notes system.
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Be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions.
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Provide interpretive information and local market insights to relevant internal Pfizer leadership regarding potential reimbursement issues.
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Exhibit strong communication, organizational, and relationship skills to be effective with diverse customers.
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Conduct themselves with the utmost discretion and confidentiality.
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Adhere to strict company compliance guidelines and procedures.
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Effectively and compliantly communicate with stakeholders to adopt ideas, actions, or positions through logical and engaging messages without direct authority.
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Effectively link customer insights to the offerings and resources to address patient access barriers.
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Build trust through follow-up and knowledge of the access journey.
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Demonstrate excellence in responsible business communication in both written and spoken communications.
Qualifications
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Minimum 7+ years pharmaceutical industry experience typically within the fields of pharmaceutical sales and/or coding and reimbursement.
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Reimbursement and Access experience is a plus.
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Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the policy dynamics across various Pfizer Business Units/Brands.
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B.S. or B.A. degree is required.
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Experience demonstrating exceptional communication and presentation skills, strategic planning, and successful plan implementation.
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Demonstrated leadership and success at working across internal boundaries and collaborating with multiple relevant stakeholders.
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Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures.
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Proven track record of collaborating broadly with a diverse range of customers, clients, and stakeholders.
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Training in and experience in responsible business communication both written and spoken.
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Valid US driver’s license and a driving record in compliance with company standards.
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Must reside in territory boundaries.
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Travel requirement: 50% for live customer interactions.
Requirements
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Candidate demonstrates a breadth of diverse leadership experiences and capabilities including:
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The ability to influence and collaborate with peers.
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Develop and coach others.
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Oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
Benefits
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The annual base salary for this position ranges from $139,100.00 to $231,900.00.
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Eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of the base salary.
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Eligibility to participate in our share-based long-term incentive program.
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Comprehensive benefits including:
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401(k) plan with Pfizer Matching Contributions
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Paid vacation, holiday, and personal days
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Paid caregiver/parental and medical leave
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Health benefits including medical, prescription drug, dental, and vision coverage
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Relocation assistance may be available based on business needs and/or eligibility.