Dedicated Case Coordinator

Job not on LinkedIn

🔥 3 minutes ago

🌪️ Kansas, Oklahoma, +1 more states – Remote

🌪️ Kansas – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – 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 direct calls with payers and patients • Obtain missing Patient Enrollment Form information and verify testing, voucher, and Interim Care selections • 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 and confirm patient appointments and coordinate baseline assessment testing with providers and vendors • Administer Interim Care, extended Interim Care, voucher, and copay programs • Triage vouchers, paid prescriptions, and Interim Care fills within Polaris • Conduct post-prescription follow-up at 10 and 45 days • Manage and update cases in Polaris using texting, faxing, and prescription triage capabilities • Review prior authorization, appeal, and PEF 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 documenting the patient journey and calls • Use Kite Works encrypted email and manage DocuSign consent processes • Report adverse events in accordance with company requirements • Communicate compliantly with patients, caregivers, and healthcare providers using approved materials • Work cross-functionally to improve the patient access journey and address access barriers • Maintain confidentiality and adhere to company compliance guidelines

🎯 Requirements

• B.S. or B.A. Degree • 8+ years of pharmaceutical or related experience in customer-facing roles/functions • Minimum 6 months as an FRM, PAC, FAS or similar, with access and reimbursement experience and Polaris CRM System experience • 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 • Appropriate and compliant communication and collaboration with cross-functional field-based colleagues and HQ stakeholders • Experience in a patient- and/or customer-facing role requiring access and reimbursement education (nice-to-have) • Experience working with a HUB (nice-to-have) • Experience with Kite Works or comparable encrypted email platform, 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 both pharmacy benefit (PBM) and major medical benefit coverage pathways (nice-to-have) • 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 • Ability to understand complex processes and communicate effectively to diverse communities of patients • Outstanding collaboration and networking abilities • 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 • Approximately 10% to 20% travel • 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 • Requires permanent work authorization in the United States

🏖️ Benefits

• 20.0% bonus target through Pfizer’s Global Performance Plan • 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 • Potential relocation assistance based on business needs and/or eligibility