I & I Access and Reimbursement Regional Director

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🌽 Illinois, Iowa, +3 more states – Remote

🌽 Illinois – Remote 🌾 Iowa – Remote 🏈 Ohio – Remote ❄️ Minnesota – Remote 🎸 Tennessee – Remote

💵 $189.2k - $315.4k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

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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

• Directly manage and provide strategic direction, day-to-day guidance, compliance oversight, and performance management for regional Field Reimbursement Managers • Oversee FRM execution, including patient needs assessments, reimbursement navigation, HCP office education, payer-policy clarification, account workflow optimization, and hub enrollment support • Set and enforce performance expectations aligned to national KPIs • Conduct field rides, call coaching, performance reviews, and individual development conversations • Lead hiring, onboarding, and performance management for the regional FRM team • Manage regional budget, headcount planning, travel spend, and program resources • Coach FRMs on end-to-end patient journey leadership, barrier identification, escalation, enrollment, therapy initiation, and continuation • Monitor and resolve patient access friction points, including prior authorization delays, step edits, coding/documentation gaps, affordability concerns, coverage gaps, specialty pharmacy fulfillment issues, and enrollment abandonment • Serve as an escalation resource for complex patient access cases • Build team reimbursement expertise across payer landscapes, coverage pathways, prior authorization, appeals, coding, claims, medical and pharmacy benefits, and payer-specific requirements • Identify payer policy trends, coverage gaps, formulary changes, documentation requirements, and reimbursement challenges; communicate insights internally • Partner with market access, trade, and HEOR teams on national account strategies • Establish standards for compliant HCP and office staff education • Lead regional account-level access strategy and scalable solutions for workflow barriers across priority accounts, group practices, IDNs, and academic medical centers • Coordinate regional access leadership across Brand, National Access & Reimbursement, Field Sales, Key Account Directors, Patient Solutions, Hub partners, Legal/Compliance, and Market Access • Track, interpret, and report regional performance metrics to the National Lead • Aggregate FRM insights on payer trends, reimbursement challenges, HCP workflow barriers, account dynamics, and access delays into actionable recommendations • Ensure accurate and timely documentation of patient interactions and case activity • Use field data, team observations, and market access intelligence to guide coaching, account strategy, escalation pathways, and continuous improvement • Monitor team compliance with Pfizer policies, OIG guidelines, PhRMA Code, federal and state regulations, and required compliance training

🎯 Requirements

• Bachelor's degree required; advanced degree (MBA, MPH, PharmD) preferred • Minimum 10 years of experience in pharmaceutical field operations, patient services, reimbursement, or access/hub management • Minimum 3–5+ years of people management experience leading, coaching, or developing field-based access, reimbursement, patient services, hub-facing, or customer-facing teams • Direct experience with specialty pharmacy, hub programs, or patient support services in a regulated environment • Strong working knowledge of the access and reimbursement landscape, including benefits investigation, prior authorization, step edits, appeals, payer policy, coverage pathways, specialty pharmacy fulfillment, and insurance coverage processes • Working knowledge of medical and pharmacy billing including CPT, HCPCS/J-codes, ICD-10, NDC, Medicare Part B buy-and-bill, specialty pharmacy processes, and payer-specific coverage criteria relevant to INI/specialty products • Proven ability to build reimbursement subject matter expertise across a team and translate payer policy, patient access data, and field insights into regional action plans • Demonstrated ability to lead through influence across cross-functional teams • Demonstrated ability to manage a large geographic territory and travel 50–60% of the time • Valid US driver's license and driving record compliant with company standards; any DUI/DWI or other impaired driving citation within the past 7 years will disqualify hiring • Experience in I & I or rare disease therapeutic areas preferred • Familiarity with Pfizer hub infrastructure preferred • Prior experience leading Access and Reimbursement, patient access, hub operations, field reimbursement, or hybrid patient/HCP access support roles preferred • Track record of improving enrollment metrics or time-to-therapy outcomes preferred • Existing relationships with regional payer medical directors, pharmacy directors, or key account decision-makers preferred • Experience with product launches in access and reimbursement preferred • Experience leading through ambiguity in highly regulated, cross-functional environments preferred • Lives within Region preferred • Must reside near an airport, travel within the Region, and live within the Region • 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 • Requires permanent work authorization in the United States

🏖️ Benefits

• Pfizer Global Performance Plan with a bonus target of 22.5% of base salary • 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