Care Coordinator

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $162.9k - $271.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 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

• Own 100% of assigned cases and manage the patient journey from HUB enrollment through post-fill follow-up • Serve as the central point of contact for patients/caregivers and healthcare providers regarding reimbursement and access support • Answer access and coverage questions and educate patients, caregivers, and providers • Conduct summary of benefits discussions and obtain missing enrollment information • Review out-of-pocket costs, deductibles, copay options, reimbursement programs, maximizers, and accumulators • Verify product and baseline-test coverage across PBM and major medical insurance • Oversee prior authorization submissions, verification, appeals support, and deadlines • Conduct benefit investigation and verification calls with payers and patients • Schedule, reschedule, and confirm patient appointments and assessment tests • Coordinate with IQVIA/MDX and other vendors on patient assessment testing • Administer Interim Care, extended Interim Care, voucher, and copay programs • Triage vouchers, paid prescriptions, and Interim Care fills within Polaris • Contact patients 10 and 45 days post-prescription to resolve logistical or financial questions • Manage and update cases in Polaris, including texting, faxing, prescription triage, and documentation • Review prior authorization, appeal, and enrollment documentation for accuracy • Share and manage cases with HUB partners and coordinate with Pfizer colleagues • Maintain real-time case comments documenting patient and provider interactions • Use Kite Works encrypted email and manage DocuSign consent processes • Report adverse events according to company requirements • Communicate compliantly using approved materials and follow company compliance guidelines • Collaborate cross-functionally to improve patient access journeys and address access barriers • Maintain discretion, confidentiality, trust, and compliant follow-up

🎯 Requirements

• B.S. or B.A. degree • 8+ years of pharmaceutical or related experience in customer-facing roles/functions • Experience as an FRM, PAC, ACM, FAS, or within access and reimbursement • Ability to communicate directly with patients, providers, and cross-functional colleagues • Proficiency conducting benefit investigation and verification directly with payers • Working knowledge of prior authorization and appeals processes • Working knowledge of copay programs, copay maximizers and accumulators, vouchers, and free or interim care programs • Ability to manage a high volume of concurrent cases with disciplined documentation and follow-through • Ability to meet adverse event reporting obligations with frequent, direct patient contact • Strong understanding of reimbursement, government payment systems, specialty pharmacy networks, co-pay assistance programs, and specialty medications • Compliant communication and collaboration with cross-functional field-based colleagues • Alignment with HQ stakeholders to support patient access • Flexibility to work across different time zones if needed • Ability to travel approximately 10% to 20% • Candidates must be authorized to be employed in the U.S. by any employer • Permanent work authorization in the United States required; U.S. work visa sponsorship is unavailable now or in the future

🏖️ Benefits

• Global Performance Plan bonus target of 20.0% 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 • Remote work from home 5 days a week for remote colleagues