Rare Cardiac Access Care Manager Louisville

PfizerCincinnati, OH
$139,100 - $231,900Remote

About The Position

As part of Pfizer Specialty Care, this individual will report to the Regional Director, Patient Access & Reimbursement. The Access Care Manager (ACM) serves as a field-based access leader responsible for integrating patient journey ownership, reimbursement expertise, and account-level strategy to ensure appropriate patient access. This role combines high-touch patient engagement with advanced subject matter expertise in reimbursement, payer policy, and coverage strategy, acting as a trusted partner to healthcare providers and internal stakeholders.

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.
  • 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions, 9 with Masters, BSN or Rph
  • 1+ years in Access and Reimbursement support role
  • Minimum 3–5 years of Specialty Pharma experience, preferably within the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency.
  • Reimbursement and Access experience is a must and experience in the Cardiology sector is preferred.
  • Strong understanding of Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the Specialty policy dynamics that exist in the Rare Disease Community.
  • Experience demonstrating exceptional communication and presentation skills, strategic planning and success in implementation of plans.
  • 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.
  • Valid US driver’s license and driving record in compliance with company standards.
  • Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired.
  • Must live within the geography, or within 25 miles or closer to territory boundaries.
  • Candidates must be authorized to be employed in the U.S. by any employer.
  • This position requires permanent work authorization in the United States.

Nice To Haves

  • Experience in the Cardiology sector is preferred.

Responsibilities

  • Serve as the primary point of contact for consented patients across the treatment journey from enrollment through therapy initiation and continuation.
  • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers to access for consented patients.
  • Assist in coordinating care across healthcare providers, caregivers, and sites of care to ensure continuity and timely progression to therapy for consented patients.
  • Maintain accountability for end-to-end patient progression, ensuring proactive identification and resolution of barriers.
  • Act as a field-based expert on reimbursement, coverage pathways, and payer policy impacting Pfizer therapies.
  • Provide guidance on the prior authorization process, step edits, coding, and payer-specific requirements.
  • Support the resolution of reimbursement challenges through appropriate escalation and coordination.
  • Deliver compliant education on reimbursement processes, coverage pathways, and patient access resources, including hub services, enrollment processes, and financial assistance programs to improve access efficiency.
  • Develop and execute account-level access strategies to improve patient access at scale.
  • Identify systemic barriers and implement solutions to optimize workflows and assist in reducing delays in therapy initiation.
  • Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges.
  • Facilitate communication between HCP offices, payers, and patient support programs to ensure efficient navigation of the reimbursement process.
  • Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.
  • Support development of cross-functional strategies by translating field insights into recommendations.
  • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.
  • Participate in account planning and contribute to coordinated, patient-centric approaches to access.

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.
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