Oncology Patient Access Navigator - Northeast

Pfizer • New York City, NY

20h • Remote

About The Position

This individual, reporting to the US Region – Senior Director/Director, Oncology Patient Access and Reimbursement, will perform duties under the strategic vision of the Pfizer Oncology Patient Solutions Alliances Team Plan and compliance standards. The Access Navigator’s responsibilities include proactively engaging with patients enrolled in the Hub who opt-in for support, coordinating timing and updates with HCPs/Care Champions, completing welcome calls, relaying Summary of Benefit information, discussing patient affordability and access concerns, completing initial needs assessments, and referring patients to Care Champions support if warranted. The initial needs assessment will cover questions regarding the coverage process & coordination, associated treatment cost, inpatient and outpatient logistics, and ongoing administrative, emotional & logistical burdens. The role also involves outbound calls to HCP inpatient case managers/discharge planners to confirm discharge timing and continuity of care, contacting HCP inpatient discharge staff to confirm continuity of care and update patient needs assessments, and contacting patients to confirm outpatient site of care details. All activities must be performed consistently with Pfizer’s mission and values and under the direction of their immediate supervisor. The individual must exhibit strong communication and relationship skills, conduct themselves with utmost discretion and confidentiality, adhere to strict company compliance guidelines, and collaborate successfully with diverse customers, clients, and stakeholders, demonstrating excellence in responsible business communication.

Requirements

• B.S. Degree is required
• Minimum 8+ years Pharmaceutical industry experience typically within the fields of pharmaceutical sales and patient access, coding and reimbursement.
• Minimum 3–5 years of Oncology experience, preferably within the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency.
• Reimbursement and Access experience is a must.
• Strong understanding of Oncology Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the Oncology policy dynamics that exist in the Cancer Community.
• Experience demonstrating exceptional communication and presentation skills, strategic planning and success in implementation of this plan to bring a return on investment.
• Demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple 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.
• 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.
• Permanent work authorization in the United States.

Nice To Haves

• Additional certification in coding and reimbursement is preferred.

Responsibilities

• Proactively engage with patient once patient is enrolled with Hub and if patient “opts in” for Access Navigator Support
• Coordinates timing & updates HCP/Care Champion (if applicable)
• Complete welcome call to patient
• Relay Summary of Benefit information to all HCPs; discuss patient affordability and access concerns if raised by HCPs consistent with internal training and guidance
• Complete initial needs assessment with patient, refer patient to Care Champions (POT) support if warranted by initial needs assessment
• Initial needs assessment to include questions regarding the coverage process & coordination, associated treatment cost, inpatient logistics, outpatient logistics and coordination, ongoing administrative, emotional & logistical burdens
• Complete outbound call to HCP inpatient case manager/discharge planner to confirm discharge timing
• Contact HCP inpatient discharge staff – confirm continuity of care for patient, update patient needs assessment to support timely discharge
• Contact patient to confirm HCP outpatient site of care address, date of HCP outpatient appointment and other outpatient site of care logistics to ensure continuity of care for patient
• Support to overcome REMs-related challenges and wholesaler barriers, ensuring smooth access to Elrexfio.
• Comprehensive billing and coding assistance for both inpatient and outpatient settings, helping stakeholders navigate complex reimbursement processes.
• Included support around Inpatient Free Drug program.
• Developed Polaris system enhancements to align with the evolving responsibilities of the PAN role.
• Enhanced transition of care supports patients and caregivers as they move from inpatient to outpatient settings, between different care sites, and across state lines.
• Establishment of a compliant and comprehensive strategic planning process to navigate and identify HCP site targets for proactive outreach and education within a large geography.
• Site operationalization support when a new patient is identified facilitates a seamless process.
• Provide non-clinical support along the patient journey, addresses resource needs and expediting potential barrier resolutions.
• The PAN can work exclusively with the Site of Care or both SOC and opt in patient.
• Compliant ACT collaboration, working closely with relevant stakeholders to address issues, improving the patient and provider experience.
• PAN recognizes and addresses the unique support requirements of caregivers.
• The length of support for PAN opt-in patients was extended beyond six months, reflecting a commitment to sustained assistance and address patient support needs throughout the Elrexfio journey.
• Serving as a key point of contact, the PAN facilitates communication between patients, caregivers, Sites of Care, and Pfizer support resources, streamlining and coordinating the entire patient journey.
• PAN role manages the complex reimbursement landscape, including outpatient step-up therapy and works internally to identify supportive resources to address customer needs.
• Compliant alignment with the Hematology franchise, including marketing, medical, advocacy, and payer teams, to ensure compliant, cohesive strategies, new resource development and unified messaging.
• Provide interpretive guidance and strategic insight to various internal Pfizer stakeholders as to the impact of potential reimbursement issues.

Benefits

• 401(k) plan with Pfizer Matching Contributions
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 5,001-10,000 employees