Case Coordinator

Job not on LinkedIn

🔥 2 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $162.9k - $271.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

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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 drive 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 Summary of Benefits discussions and obtain missing Patient Enrollment Form 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 and coordinate patient appointments, baseline assessments, testing, and rescheduling • Administer Interim Care, extended Interim Care, voucher, and copay programs • Triage vouchers, paid prescriptions, and Interim Care fills within Polaris • Conduct 10-day and 45-day post-prescription follow-up • Manage case types, documentation, texting, faxing, prescription triage, and secure messages in Polaris • Share and manage cases with HUB partners and coordinate with Pfizer colleagues, HUB employees, and third-party vendors • Maintain real-time case comments and manage encrypted email and DocuSign consents • Report adverse events and comply with company requirements, content controls, and system permissions • Communicate access options compliantly using approved materials • Work cross-functionally to improve patient access journeys and address access barriers

🎯 Requirements

• B.S. or B.A. Degree • 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions • 6 months minimum as a FRM, PAC, FAS or similar 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 • Demonstrated 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 own a high volume of concurrent cases across a patient journey, with disciplined documentation and follow-through • Ability to meet adverse event reporting obligations in a role with frequent, direct patient contact • Strong understanding of Reimbursement, Government Payment Systems, Specialty Pharmacy Networks, Co-Pay Assistance Programs, and the Specialty Medication area • Appropriate and compliant communication and collaboration with cross-functional field-based colleagues • Alignment with HQ stakeholders to support patient access • Permanent work authorization in the United States • Nice-to-have: experience in patient/customer-facing access and reimbursement education, working with a HUB, Kite Works or comparable encrypted email, Docusign, copay portal administration, third-party vendors, Interim Care/free goods/bridge programs, and PBM and major medical benefit coverage pathways • Excellent written and verbal communication skills • Relationship-building skills, especially with elderly age groups • Strong attention to detail and organizational skills • Critical thinking skills and ability to communicate complex processes to diverse patient communities • Collaboration and networking abilities • Understanding of Specialty Pharmaceuticals and Patient Journeys • Adherence to Regulatory and Compliance Standards • Flexibility to work across different time zones if needed

🏖️ 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