Field Reimbursement Manager I & I Albany
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. 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 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.
- This individual must also have demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple relevant stakeholders to coordinate various unique objectives.
- 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
- 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.
- Must reside in territory boundaries
- Candidates must be authorized to be employed in the U.S. by any employer.
- U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future.
- This position requires permanent work authorization in the United States.
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 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
Benefits
- 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
- Relocation assistance may be available based on business needs and/or eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
