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Cardiac Access Care Manager
Location
New Jersey
Posted
12 days ago
Salary
$139.1K - $231.9K / year
Seniority
Lead
Job Description
Cardiac Access Care Manager
Pfizer
• Serve as the primary point of contact for consented patients across the treatment journey from enrollment through therapy initiation and continuation • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers to access for consented patients • Assist in coordinating care across healthcare providers, caregivers, and sites of care to ensure continuity and timely progression to therapy for consented patients • Maintain accountability for end-to-end patient progression, ensuring proactive identification and resolution of barriers • Act as a field-based expert on reimbursement, coverage pathways, and payer policy impacting Pfizer therapies • Provide guidance on the prior authorization process, step edits, coding, and payer-specific requirements • Support the resolution of reimbursement challenges through appropriate escalation and coordination • Deliver compliant education on reimbursement processes, coverage pathways, and patient access resources • Develop and execute account-level access strategies to improve patient access at scale • Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies
Job Requirements
- 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions
- 1+ years in Access and Reimbursement support role
- Minimum 3–5 years of Specialty Pharma experience, preferably within the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency
- Strong understanding of Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the Specialty policy dynamics that exist in the Rare Disease Community
- Exceptional communication and presentation skills
- Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures
- Valid US driver’s license and driving record in compliance with company standards
Benefits
- 401(k) plan with Pfizer Matching Contributions
- Additional Pfizer Retirement Savings Contribution
- Paid vacation
- Holiday and personal days
- Paid caregiver/parental and medical leave
- Health benefits to include medical, prescription drug, dental and vision coverage
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• Serve as the primary point of contact for consented patients across the treatment journey from enrollment through therapy initiation and continuation • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers to access for consented patients • Assist in coordinating care across healthcare providers, caregivers, and sites of care to ensure continuity and timely progression to therapy for consented patients • Act as a field-based expert on reimbursement, coverage pathways, and payer policy impacting Pfizer therapies • Provide guidance on the prior authorization process, step edits, coding, and payer-specific requirements • Support the resolution of reimbursement challenges through appropriate escalation and coordination • Deliver compliant education on reimbursement processes, coverage pathways, and patient access resources, including hub services, enrollment processes, and financial assistance programs to improve access efficiency • Develop and execute account-level access strategies to improve patient access at scale • Identify systemic barriers and implement solutions to optimize workflows and assist in reducing delays in therapy initiation • Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges • Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies
• Serve as the primary point of contact for consented patients across the treatment journey from enrollment through therapy initiation and continuation • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers to access • Assist in coordinating care across healthcare providers, caregivers, and sites of care • Provide guidance on the prior authorization process and payer-specific requirements • Deliver compliant education on reimbursement processes and patient access resources • Develop and execute account-level access strategies • Engage with payer organizations to clarify coverage policies • Provide actionable insights on payer trends and reimbursement challenges • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams
• Serve as the primary point of contact for consented patients across the treatment journey • Conduct patient needs assessments addressing coverage, affordability, and logistical barriers • Assist in coordinating care across healthcare providers and sites of care • Act as a field-based expert on reimbursement and payer policy • Provide guidance on the prior authorization process • Deliver compliant education on reimbursement processes and patient access resources • Develop and execute account-level access strategies • Engage with payer organizations to clarify coverage policies
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