Dedicated Care Coordinator – Secondment

🔥 1 minute ago

🔔 Pennsylvania – 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

• Support patients’ access to PDPA and VFM products prescribed by licensed healthcare providers • Manage and progress the patient journey from HUB enrollment through post-fill follow-up • Own 100% of assigned cases across the designated geography • Serve as the primary contact for patients/caregivers and healthcare providers regarding reimbursement and access support • Conduct benefits investigations and verification, including calls with payers and patients • Support prior authorization submissions, verification, appeals, and related deadlines • Explain benefits, out-of-pocket costs, deductibles, copays, reimbursement programs, maximizers, and accumulators • Verify product and baseline-test coverage across PBM and major medical insurance for VFM • Coordinate patient appointments, baseline assessments, testing, and vendor communications • Administer Interim Care, extended Interim Care, vouchers, copay cards, and copay eligibility attestations • Triage voucher, paid prescription, and Interim Care fills within Polaris • Conduct post-prescription follow-up at 10 and 45 days • Manage case records, documentation, secure messages, texting, faxing, prescription triage, and patient consents • Coordinate with HUB partners, Pfizer colleagues, Patient Support Program/HUB employees, and third-party vendors • Report adverse events and follow company compliance, safety, confidentiality, and content-control requirements • Use approved materials to communicate access options and address patient access barriers • Build trust through compliant follow-up and responsible written and spoken communication

🎯 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 medications • Ability to communicate and collaborate compliantly with cross-functional field-based colleagues • Alignment with HQ stakeholders to support patient access • Flexibility to work across different time zones if needed • Ability to travel approximately 10% to 20% • Candidates must be authorized to be employed in the U.S. by any employer • Permanent work authorization in the United States is required • U.S. work visa sponsorship is not available now or in the future • Nice-to-have: patient/customer-facing access and reimbursement education experience • Nice-to-have: proficiency in Polaris, including case management, documentation, prescription triage, and interpretation of PA, appeal, and patient enrollment documents • Nice-to-have: HUB experience • Nice-to-have: experience with Kiteworks or comparable encrypted email, DocuSign, and copay portal administration • Nice-to-have: experience coordinating with third-party vendors on patient assessment, testing, or specialty pharmacy logistics • Nice-to-have: experience supporting Interim Care, free goods, or bridge programs • Nice-to-have: experience with pharmacy benefit and major medical benefit coverage pathways • 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 • Understanding of specialty pharmaceuticals and patient journeys • Adherence to regulatory and compliance standards

🏖️ Benefits

• Remote colleagues work from home 5 days a week or are field-based colleagues not affiliated with a Pfizer site • Approximately 10% to 20% travel opportunity • Relocation assistance may be available based on business needs and/or eligibility • Equal opportunity employment • Accessibility assistance for the website, application process, and interviewing

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