Access and Reimbursement Regional Director, Central

Job not on LinkedIn

🔥 2 minutes ago

🌽 Illinois, Iowa, +3 more states – Remote

🌽 Illinois – Remote 🌾 Iowa – Remote 🏈 Ohio – Remote ❄️ Minnesota – Remote 🎸 Tennessee – Remote

💵 $189.2k - $315.4k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Pfizer

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1849

💼 Consulting

📣 Marketing

💊 Pharmaceuticals

💰 Post-IPO Debt on 2023-05

Consulting • Marketing • Pharmaceuticals

Pfizer is a pharmaceutical company that has been at the forefront of scientific innovation for 175 years. The company is dedicated to improving health and well-being at every stage of life by providing access to safe, effective, and affordable medicines and healthcare services. Pfizer focuses on delivering innovative therapies, particularly in the field of cancer treatments, as it continues to progress in transforming the healthcare landscape.

📋 Description

• Directly manage and provide strategic direction, day-to-day guidance, compliance oversight, and performance management for regional Field Reimbursement Managers • Oversee patient needs assessments, reimbursement navigation, HCP office education, payer-policy clarification, account workflow optimization, and hub enrollment support • Set and enforce performance expectations aligned to national KPIs • Conduct field rides, call coaching, performance reviews, and individual development conversations • Lead hiring, onboarding, and performance management for the regional FRM team • Manage regional budget, including headcount planning, travel spend, and program resources • Coach FRMs on end-to-end patient journey leadership from needs assessment and enrollment through therapy initiation, continuation, and case resolution • Monitor and address prior authorization delays, step edits, coding or documentation gaps, affordability concerns, coverage gaps, specialty pharmacy fulfillment issues, and enrollment abandonment • Serve as an escalation resource for complex patient access cases • Build team reimbursement expertise across payer landscapes, coverage pathways, appeals, coding, claims, and medical and pharmacy benefits • Identify payer policy trends, coverage gaps, formulary changes, documentation requirements, and reimbursement challenges • Partner with Market Access, Trade, and HEOR teams on national account strategies • Establish standards for compliant HCP and office staff education • Lead regional account-level access strategy and improve access efficiency across priority accounts and practices • Coordinate regional access leadership across Brand, National Access & Reimbursement, Field Sales, Key Account Directors, Patient Solutions, Hub partners, Legal/Compliance, and Market Access • Track, interpret, and report regional performance metrics to the National Lead • Aggregate regional insights and translate them into actionable recommendations • Ensure accurate and timely documentation of patient interactions and case activity • Monitor team activity and documentation for compliance adherence and required training completion

🎯 Requirements

• Bachelor's degree required; advanced degree (MBA, MPH, PharmD) preferred • Minimum 10 years of experience in pharmaceutical field operations, patient services, reimbursement, or access/hub management • Minimum 3–5+ years of people management experience leading, coaching, or developing field-based access, reimbursement, patient services, hub-facing, or customer-facing teams • Direct experience with specialty pharmacy, hub programs, or patient support services in a regulated environment • Strong working knowledge of benefits investigation, prior authorization, step edits, appeals, payer policy, coverage pathways, specialty pharmacy fulfillment, and insurance coverage processes • Working knowledge of medical and pharmacy billing including CPT, HCPCS/J-codes, ICD-10, NDC, Medicare Part B buy-and-bill, specialty pharmacy processes, and payer-specific coverage criteria relevant to INI/specialty products • Proven ability to build reimbursement subject matter expertise across a team and translate payer policy, patient access data, and field insights into regional action plans • Demonstrated ability to lead through influence across cross-functional teams • Demonstrated ability to manage a large geographic territory and travel 50–60% of the time • Valid US driver’s license and driving record compliant with company standards; any DUI/DWI or other impaired driving citation within the past 7 years disqualifies hiring • Preferred: experience in I&I or rare disease therapeutic areas • Preferred: familiarity with Pfizer hub infrastructure, such as PDPA or equivalent specialty pharmacy program • Preferred: prior experience leading Access and Reimbursement, patient access, hub operations, field reimbursement, or hybrid patient/HCP access support roles • Preferred: track record of improving enrollment metrics or time-to-therapy outcomes • Preferred: existing relationships with regional payer medical directors, pharmacy directors, or key account decision-makers • Preferred: experience with product launches in access and reimbursement • Preferred: experience leading through ambiguity in highly regulated, cross-functional environments • Must live within the region • Must reside near an airport, be able to travel within the region, and live within the region • Candidates must be authorized to be employed in the U.S. by any employer • U.S. work visa sponsorship is not available now or in the future • Requires permanent work authorization in the United States

🏖️ Benefits

• Global Performance Plan bonus target of 22.5% of base salary • Share-based long-term incentive program • 401(k) plan with Pfizer Matching Contributions • Additional Pfizer Retirement Savings Contribution • Paid vacation, holiday, and personal days • Paid caregiver/parental and medical leave • Medical, prescription drug, dental, and vision coverage • Relocation assistance may be available based on business needs and/or eligibility