Dedicated Case Coordinator

Job not on LinkedIn

🔥 9 minutes ago

🌵 Arizona, Nevada – Remote

🌵 Arizona – Remote 🎰 Nevada – 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 product coverage and baseline testing coverage • 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 • Manage prior authorization submissions, verification, appeals support, and related deadlines • Schedule, reschedule, and confirm patient appointments and assessment tests with providers and vendors • Administer Interim Care, extended Interim Care, vouchers, copay cards, and eligibility attestations • Triage vouchers, paid prescriptions, and Interim Care fills within Polaris • Contact patients 10 and 45 days after prescription to resolve logistical or financial questions • Manage cases and documentation in Polaris, including texting, faxing, prescription triage, and case comments • Share and manage cases with HUB partners and coordinate with Pfizer colleagues and Patient Support Program/HUB employees • Use Kiteworks encrypted email and DocuSign to communicate and obtain required consents • Report adverse events and operate within company compliance, safety, confidentiality, and content-control requirements • Collaborate cross-functionally to improve the patient access journey and address access barriers

🎯 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 role in access and reimbursement, 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 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 • Permanent work authorization in the United States • Must be authorized to be employed in the U.S. by any employer; U.S. work visa sponsorship is unavailable now and in the future • Nice-to-have: patient/customer-facing access and reimbursement education experience • Nice-to-have: experience working with a HUB • Nice-to-have: Kiteworks or comparable encrypted email, 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 pathway experience • Excellent written and verbal communication skills • Strong relationship-building, critical thinking, attention to detail, organizational, collaboration, and networking skills • Understanding of specialty pharmaceuticals and patient journeys • Adherence to regulatory and compliance standards • Flexibility to work across different time zones if needed • Ability to travel approximately 10% to 20%

🏖️ Benefits

• 20.0% bonus target through Pfizer’s Global Performance Plan • Share-based long-term incentive program eligibility • 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 for remote colleagues