Care Coordinator – Secondment

🔥 1 minute ago

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Pfizer

Pfizer

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 patient cases and manage the patient journey from HUB enrollment through post-fill follow-up • Serve as the primary 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 calls with payers and patients • Explain out-of-pocket costs, deductibles, copays, reimbursement programs, maximizers, and accumulators • Verify product and baseline-test coverage across pharmacy benefit managers and major medical insurance • Oversee prior authorization submissions, verification, and appeals support • Coordinate appointments, baseline assessments, patient testing, and provider confirmations • Administer Interim Care, extended Interim Care, voucher, and copay programs • Triage vouchers, paid prescriptions, and Interim Care fills in Polaris • Conduct post-prescription follow-ups at 10 and 45 days • Manage case records, documentation, secure messages, texting, faxing, and prescription triage in Polaris • Coordinate with HUB partners, Pfizer colleagues, Patient Support Program employees, and third-party vendors • Manage patient consents through DocuSign and correspondence through Kiteworks encrypted email • Report adverse events and comply with company safety, regulatory, confidentiality, and content-control requirements • Work cross-functionally to improve the patient access journey and address access barriers

🎯 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 • Experience communicating 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 • Strong understanding of reimbursement, government payment systems, specialty pharmacy networks, copay assistance programs, and specialty medications • Compliant communication and collaboration with cross-functional field-based colleagues • Alignment with headquarters stakeholders on patient access • Excellent written and verbal communication skills • Exceptional relationship-building skills, especially with elderly age groups • Trust, integrity, empathy, and patience • Strong presentation, attention to detail, organizational, critical thinking, collaboration, and networking skills • Ability to work in a team environment • Understanding of specialty pharmaceuticals and patient journeys • Adherence to regulatory and compliance standards • Flexibility to work across different time zones if needed • Candidates must be authorized to be employed in the U.S. by any employer • Position requires permanent work authorization in the United States • U.S. work visa sponsorship is not available now or in the future

🏖️ Benefits

• Remote colleagues work from home 5 days a week • Approximately 10% to 20% travel • Relocation assistance may be available based on business needs and/or eligibility • Equal opportunity employment • Accessibility assistance for the application process and interviewing

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