Case Coordinator

Job not on LinkedIn

🔥 12 minutes ago

🚗 Michigan – Remote

🚗 Michigan – 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 payer and patient calls • Obtain missing Patient Enrollment Form information and verify testing, voucher, and Interim Care options • Explain 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 • Schedule, reschedule, and confirm patient appointments and assessment tests • Administer Interim Care, voucher, and copay programs, including eligibility attestations and copay-card follow-up • Triage prescriptions, vouchers, paid prescriptions, and Interim Care fills within Polaris • Contact patients at 10 and 45 days post-prescription to resolve logistical or financial questions • Manage case types, documentation, texting, faxing, prescription triage, and secure communications in Polaris • Coordinate with HUB partners, Pfizer colleagues, Patient Support Program/HUB employees, and third-party vendors • Maintain real-time case comments and manage DocuSign consents and encrypted email correspondence • Report adverse events and follow company compliance, safety, confidentiality, and communication requirements • Link customer insights to approved resources and collaborate cross-functionally to improve patient access

🎯 Requirements

• B.S. or B.A. Degree • 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions • Minimum 6 months as a FRM, PAC, FAS or similar, with experience in access and reimbursement and working with Polaris CRM System • Working proficiency in Polaris, including case management and documentation, prescription triage, and interpretation of PA, appeal, and PEF documentation • Ability to communicate directly with patients, providers, and cross-functional colleagues • Experience 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, Co-Pay Assistance Programs, and Specialty Medication • 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 • U.S. work visa sponsorship is not available now or in the future • Permanent work authorization in the United States required • Nice-to-have: patient/customer-facing access and reimbursement education experience; HUB experience; Kite Works or comparable encrypted email platform; DocuSign; copay portal administration; third-party vendor coordination; Interim Care, free goods, or bridge program experience; PBM and major medical benefit coverage experience • Flexibility to work across different time zones if needed • Ability to travel approximately 10% to 20%

🏖️ Benefits

• Bonus target of 20.0% of base salary through Pfizer’s Global Performance Plan • Eligibility to participate in Pfizer’s 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