Case Coordinator

Job not on LinkedIn

🔥 9 minutes ago

🦀 Maryland, Pennsylvania – Remote

🦀 Maryland – Remote 🔔 Pennsylvania – Remote

💵 $162.9k - $271.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Support patients’ access to PDPA and VFM products when prescribed by a licensed healthcare provider • Own the continual management and progression of each patient journey from HUB enrollment through post-fill follow-up • Serve as the primary contact for patients/caregivers and healthcare providers regarding reimbursement and access assistance • Educate patients/caregivers and healthcare providers on reimbursement, access, and coverage issues • Conduct benefits investigation and verification, prior authorization and appeals support, appointment and baseline assessment coordination, Interim Care and voucher administration, copay support, prescription triage, and scheduled post-fill follow-up • Conduct Summary of Benefits discussions for every HUB-enrolled patient • 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 for VFM • Oversee prior authorization submission and verification with patients and providers • Conduct benefit investigation and verification calls with payers and patients • Communicate coverage, cost, authorization, appeal, Interim Care, and baseline assessment requirements • Schedule, reschedule, and confirm patient appointments and coordinate assessment testing with vendors • Manage Interim Care program requirements, deadlines, extended programs, vouchers, copay cards, and eligibility attestations • Triage voucher, paid prescription, and Interim Care fills within Polaris • Contact patients 10 and 45 days post-prescription to address logistical or financial questions • Manage and update cases in Polaris using texting, faxing, and prescription triage capabilities • Review prior authorization, appeal, and Patient Enrollment Form documentation for accuracy • Share and manage cases with HUB partners and coordinate with Pfizer colleagues and Patient Support Program/HUB employees • Maintain real-time case comments and document every call with healthcare providers and patients • Use Kite works encrypted email and manage DocuSign consent collection • Report adverse events and operate within company content controls, permissions, compliance guidelines, and procedures • Link patient access support to patient needs using Brand RC-approved materials • Work cross-functionally with internal and external colleagues to improve the patient access journey • Build trust through compliant follow-up and access-journey knowledge

🎯 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 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 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 • Ability to travel approximately 10% to 20% • Flexibility to work across different time zones if needed • Nice-to-have: Patient/customer-facing access and reimbursement education experience • Nice-to-have: Experience working with a HUB • Nice-to-have: Kite works or comparable encrypted email platform, Docusign, and copay portal administration • Nice-to-have: Third-party vendor coordination for patient assessment, testing, or specialty pharmacy logistics • Nice-to-have: Interim Care, free goods, or bridge program experience • Nice-to-have: Pharmacy benefit and major medical benefit coverage experience • Excellent written and verbal communication skills • Exceptional relationship-building skills, especially with elderly age groups • Strong attention to detail and organizational skills • Exceptional critical thinking skills • Outstanding collaboration and networking abilities • Understanding of Specialty Pharmaceuticals and Patient Journeys • Adherence to Regulatory and Compliance Standards

🏖️ 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 • Remote work from home 5 days a week