Oncology Patient Access Navigator - Northeast

Pfizer • New York, NY

1d • Remote

About The Position

This individual, reporting to the US Region – Senior Director/Director, Oncology Patient Access and Reimbursement within Worldwide Pharmaceutical Operations – Pfizer Oncology, will operate under the strategic vision of the Pfizer Oncology Patient Solutions Alliances Team Plan and compliance standards. The Oncology Patient Access Navigator is responsible for proactively engaging with patients who have enrolled with the Hub and have opted in for Access Navigator Support. Key activities include coordinating timing and updates with HCP/Care Champion, completing a welcome call to the patient, relaying Summary of Benefit information to HCPs, discussing patient affordability and access concerns, and completing an initial needs assessment. This assessment includes questions regarding coverage, coordination, treatment costs, logistical burdens, and emotional support. The role also involves coordinating with HCP inpatient case managers/discharge planners to confirm discharge timing and continuity of care, contacting HCP inpatient discharge staff, and confirming outpatient site of care logistics with the patient. All activities must align with Pfizer’s mission and values, under the direction of the supervisor, and require strong communication, discretion, confidentiality, and adherence to compliance guidelines. The role also involves triaging case management support unique to Elrexfio, including REMs-related challenges, wholesaler barriers, billing and coding assistance, and support for the Inpatient Free Drug program. Enhanced transition of care supports patients and caregivers moving between care settings, ensuring clear communication and consistent support. Proactive customer support involves strategic planning for HCP site targets and delivering educational resources. Site operationalization and new patient journey support facilitate a seamless process by providing non-clinical support and expediting barrier resolutions. PAN Opt-In Support extends beyond six months, providing sustained assistance and serving as a key point of contact between patients, caregivers, Sites of Care, and Pfizer support resources. Subject Matter Expertise and Franchise Alignment involves managing the reimbursement landscape, collaborating with the Hematology franchise, and providing interpretive guidance on reimbursement issues.

Requirements

• 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.
• 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 must reside in either of these states: Northeast / CT, DC, DE, IL, IN, KY, MA, MD, ME, MI, NH, NJ, NY, OH, PA, RI, VA, VT, WV
• Proximity to a major airline hub is required.
• 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 (HCP will send welcome kit 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
• Triage Case Management Support Unique to Elrexfio Support to overcome REMs-related challenges and wholesaler barriers, ensuring smooth access to Elrexfio.
• Provide Comprehensive billing and coding assistance for both inpatient and outpatient settings, helping stakeholders navigate complex reimbursement processes.
• Included support around Inpatient Free Drug program.
• 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.
• Serve 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.
• Manage 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 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.

What This Job Offers

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