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 • Educate patients, caregivers, and healthcare providers on reimbursement, access, and coverage • Conduct benefits investigation and verification, including product and baseline-test coverage • Review Summary of Benefits and explain out-of-pocket costs, deductibles, copays, maximizers, accumulators, and reimbursement programs • Obtain missing Patient Enrollment Form information and verify testing, voucher, and Interim Care selections • Manage prior authorization submissions, verification, appeals support, and deadlines • Schedule, reschedule, and confirm patient appointments and baseline assessments • Coordinate patient assessment testing with IQVIA/MDX and other vendors • Administer Interim Care, extended Interim Care, voucher, and copay programs • Maintain copay portal access, support copay-card enrollment, and manage eligibility attestations • Triage vouchers, paid prescriptions, and Interim Care fills in Polaris • Conduct post-prescription follow-up at 10 and 45 days • Manage case types, documentation, secure messages, texting, faxing, and prescription triage in Polaris • Review prior authorization, appeal, and Patient Enrollment Form documentation • Maintain real-time case comments and manage required patient/provider consents through DocuSign • Report adverse events in accordance with company requirements • Communicate compliantly using approved materials and follow company compliance guidelines • Collaborate with internal and external colleagues to improve the patient access journey • Link customer insights to approved resources addressing patient access barriers • Protect patient confidentiality and build trust through 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 working experience within access and Reimbursement • Demonstrated 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 own 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 Medication • Appropriate and compliant communication and collaboration with cross-functional field-based colleagues • Alignment with HQ stakeholders to support patient access • 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-have: Patient/customer-facing access and reimbursement education experience • Nice-to-have: Working proficiency in Polaris • Nice-to-have: Experience working with a HUB • Nice-to-have: Experience with Kite Works, DocuSign, copay portal administration, third-party vendors, Interim Care/free goods/bridge programs, PBM and major medical benefit coverage pathways • Excellent written and verbal communication skills • Exceptional relationship-building, critical-thinking, organizational, and collaboration skills • Flexibility to work across different time zones if needed • Ability to travel approximately 10% to 20%

🏖️ Benefits

• Pfizer Global Performance Plan with a 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