Field Reimbursement Manager Chicago South

Pfizer • Downers Grove, IL

242d • $135,100 - $225,100 • Remote

About The Position

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. It will be this person's role and responsibility to: 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. Reactively assisting HCP offices with coding and claims-related issues by contacting payers to understand policy or procedures and to provide information on payer requirements. 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 and to use that expertise to facilitate appropriate patient access to a prescribed Pfizer product. The Field Reimbursement Manager will also provide, as needed, interpretive information and local market insights to relevant internal Pfizer leadership as to the impact of potential reimbursement issues. This person must exhibit strong communication, organizational, and relationship skills to be effective with a host of diverse customers. Must conduct themselves with the utmost discretion and confidentiality. Must 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.

Requirements

• Minimum 7+ years pharmaceutical industry experience, typically within pharmaceutical sales and/or coding and reimbursement.
• Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, and Co-Pay Assistance Programs.
• B.S. or B.A. degree is required.
• Experience demonstrating exceptional communication and presentation skills.
• Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines.
• Proven track record of collaborating broadly with a diverse range of customers, clients, and stakeholders.
• Valid US driver's license and a driving record in compliance with company standards.

Nice To Haves

• Additional certification in coding and reimbursement is preferred but not required.
• Coding and billing knowledge or certification a plus but not required.

Responsibilities

• Conduct office calls with HCPs and office staff to enable appropriate patient access to Pfizer products.
• Provide in-person and virtual education for HCPs/office staff regarding local/regional payer landscape and policies.
• Distribute Pfizer RC-approved materials to HCPs/office staff relating to coverage and reimbursement matters.
• Provide education for HCPs/office staff regarding Hub financial assistance offerings and enrollment process.
• Assist HCP offices with coding and claims-related issues by contacting payers.
• Use Pfizer's designated case notes system compliantly.
• Act as the subject matter expert on reimbursement and coverage issues affecting Pfizer products.
• Provide interpretive information and local market insights to internal Pfizer leadership.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Chemical Manufacturing
• Education Level: Bachelor's degree