Senior Director, Oncology Field Access & Reimbursement Strategy Lead

Pfizer • New York, NY

22h • $230,900 - $384,800 • Remote

About The Position

The National Field Reimbursement Lead is responsible for transforming Pfizer Oncology's field reimbursement strategy to meet the demands of a portfolio that spans oral oncolytics (Part D) and physician-administered, infused therapies (Part B/buy & bill). This senior leader must be fluent across both reimbursement environments sustaining support for priority oral assets while building out buy & bill capabilities required for launches and the next generation of infused oncology therapies. This leader will own the national vision and execution for access and reimbursement across a 25+ person field team, serve as the enterprise champion for AI-enabled reimbursement infrastructure, and leading a team focusing on working to ensure that post-prescription patients are initiating and staying on therapy in a manner that supports optimal outcomes on our key brands. The role reports directly to the VP, Oncology Patient Solutions & Alliances and will serve as a member of the OPSA Leadership Team.

Requirements

• Minimum 12 years of pharmaceutical industry experience, with demonstrated leadership in oncology access and reimbursement
• Proven experience in buy & bill reimbursement environments: medical benefit, J-code/HCPCS assignment, HOPPS billing, infusion center economics, and 340B navigation
• Track record of engaging with Integrated Delivery Networks (IDNs), academic medical centers, and health system stakeholders
• Experience managing field reimbursement teams in a matrixed, multi-brand oncology environment
• Background in hub vendor and third-party reimbursement intermediary management; co-pay assistance program design and oversight
• Matrixed leadership experience with demonstrated ability to influence across functions without direct authority
• Exceptional executive communication, presentation, and strategic planning skills with a record of successful Op Plan implementation
• Proven ability to lead capability transformation and change management initiatives within a field-based organization
• Deep understanding of evolving healthcare market dynamics: value-based contracting, site-of-care economics, and specialty pharmacy distribution models
• Demonstrated commitment to compliance, regulatory adherence, and ethical leadership in a highly regulated environment
• B.S. degree required
• This position requires permanent work authorization in the United States.

Nice To Haves

• Advanced certification in medical billing, coding, or reimbursement (e.g., CPC, CMRS, RHIA) strongly preferred
• MBA or advanced degree in Health Sciences, Healthcare Administration, or related field a plus
• Direct line leadership experience with national-scope field teams of 20+ colleagues
• Familiarity with EHR platforms (Epic, Cerner) and digital access tools (CoverMyMed, FHIR-based benefits verification)
• Experience with claims analytics, denial trend reporting, or territory intelligence dashboards
• Prior exposure to AI-enabled field tools and comfort navigating technology adoption with a field-based workforce
• P&T committee engagement and formulary management experience at IDN or health system level
• Excellent relationship-building, trust, and integrity with a record of sustained cross-functional collaboration

Responsibilities

• Define and execute the national field reimbursement strategy aligned to Pfizer Oncology's evolving buy & bill and infused portfolio priorities
• Lead the transformation roadmap: build the capabilities and infrastructure to meet providers and patients wherever the evolving portfolio requires — in close collaboration with the Commercial Oncology Leadership Team and aligned to priority brands — without presupposing a fixed structural orientation before that work is done
• Serve as primary liaison to the VP and OPSA Leadership Team on field access trends, team performance, and market intelligence
• Partner with Marketing, Brand, US Market Access & Patient Support Services (USMA+PSS) and Customer Engagement Platform (CEP) teams to align reimbursement strategy with launch plans, Op Plans, and portfolio milestones
• Evolve team to provide a mix of a proactive and reactive support health system–first engagement model, in support of patient-first partnership
• Design and Execute aligned field reimbursement support for critical launches.
• Support, Motivate and Mentor an award-winning field reimbursement team – both Field Reimbursement Directors (FRD) and Patient Access Navigators (PAN) – to continue to activate with urgency and integrity.
• Provide subject matter expertise on medical benefit reimbursement, J-code/HCPCS coding, HOPPS billing, infusion billing/coding, and site-of-care dynamics
• Guide FRD teams through the complexity of buy & bill launches, including lack of product-specific J-codes, claim denial risk mitigation, and provider reimbursement confidence
• Oversee the team's proficiency development in prior authorization, peer-to-peer support, appeal construction, and denial trend analytics
• Ensure readiness across all reimbursement pathways—commercial, Medicare, Medicaid, 340B—for the full Pfizer Oncology portfolio including IV, injectable, and oral products
• Lead strategy for engaging Integrated Delivery Networks (IDNs), academic medical centers, and health systems through structured account planning, quarterly business reviews
• Develop and implement P&T committee engagement frameworks and formulary management protocols for relevant accounts
• Guide multi-site coordination across community, hospital outpatient, and academic settings to ensure consistent reimbursement support
• Oversee territory redesign as necessary to align FRD coverage with IDN footprint and health system priorities
• Champion adoption of AI-enabled tools including Coach 360, automated denial analysis, and predictive patient-access modeling across the field team
• Oversee deployment of real-time territory dashboards and claims-based denial trend reporting to evolve teams account prioritization
• Drive EHR and digital integration priorities including (eg. CoverMyMeds PA automation, FHIR-based benefit verification and emerging patient-centered technologies) in partnership with our Digital team
• Partner with OPSA Analytics, USMA, and the PSS Data Aggregator team to build a systematic payer policy intelligence function
• Serve as OPSA LT sponsor for Field Execution and Innovation, including oversight of the new Field Innovation & Automation role
• Directly manage Regional FRD Team Leads and PANs with indirect oversight of Enablement Field Reimbursement Lead talent assessment, reskilling curriculum oversight, and structured certification program (buy & bill competencies) across the +25 person team
• Drive recruiting, hiring, performance management, diversity initiatives, and succession planning across the field organization
• Implement and model Pfizer's Purpose Blueprint, Ambitions, Bold Moves, and Values; lead Action Plans from PLI survey results
• Build a compliant, high-performance culture aligned with all Pfizer policies, procedures, and relevant CMS/OIG regulations
• Lead team in continuity of high-functioning FRD mentorship program for growth and potential promotion of emerging talent
• Lead cross-functional engagement with USMA+PSS, Oncology Brand Marketing, Legal, Compliance, Hub Operations, and Digital
• Synthesize field intelligence on local market dynamics, payer policy changes, and access barriers and communicate to VP and OPSA LT, and as requested to Commercial Oncology Leadership Team
• Provide input to business planning cycles through insights gathered from FRDs, access trends, and denial analytics
• Align with the Pfizer Oncology Together platform and Hub Operations team to optimize integrated patient support services
• Own the post-prescription patient journey on key brands — ensuring patients are initiating therapy, staying on therapy, and receiving the reimbursement support needed to achieve optimal outcomes; this accountability is a core performance expectation of this role, not an assumed outcome

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