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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing patient journeys through reimbursement and access support, including conducting benefits investigations and navigating prior authorization processes. Proficient in maintaining compliance and effective communication with patients, providers, and cross-functional teams.
Highest-signal resume keywords
Patient Journey ManagementBenefits Investigation and VerificationPrior Authorization and Appeals ProcessesReimbursement and Access SupportPatient Communication and Education
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefits InvestigationPrior AuthorizationReimbursement ProcessesCopay ProgramsDocumentation ManagementPatient EnrollmentCase ManagementAdverse Event ReportingPatient ConfidentialityAccess Support
Soft Skills
Communication SkillsRelationship BuildingCritical ThinkingOrganizational SkillsCollaboration Skills
Tools & Technologies
PolarisDocuSignCopay PortalIQVIAKite Works
Industry Keywords
Pharmaceutical ExperienceCustomer-Facing RolesSpecialty Pharmacy NetworksCo-Pay Assistance ProgramsGovernment Payment Systems
About the role
Key responsibilities & impact- 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 and baseline-test coverage
- Review Summary of Benefits and explain out-of-pocket costs, deductibles, copays, maximizers, accumulators, and reimbursement programs
- Obtain missing Patient Enrollment Form information and verify testing, voucher, and Interim Care selections
- Manage prior authorization submissions, verification, appeals support, and deadlines
- Schedule, reschedule, and confirm patient appointments and baseline assessments
- Coordinate patient assessment testing with IQVIA/MDX and other vendors
- Administer Interim Care, extended Interim Care, voucher, and copay programs
- Maintain copay portal access, support copay-card enrollment, and manage eligibility attestations
- Triage vouchers, paid prescriptions, and Interim Care fills in Polaris
- Conduct post-prescription follow-up at 10 and 45 days
- Manage case types, documentation, secure messages, texting, faxing, and prescription triage in Polaris
- Review prior authorization, appeal, and Patient Enrollment Form documentation
- Maintain real-time case comments and manage required patient/provider consents through DocuSign
- Report adverse events in accordance with company requirements
- Communicate compliantly using approved materials and follow company compliance guidelines
- Collaborate with internal and external colleagues to improve the patient access journey
- Link customer insights to approved resources addressing patient access barriers
- Protect patient confidentiality and build trust through compliant follow-up
Requirements
What you’ll need- 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 Medication
- Appropriate and compliant communication and collaboration with cross-functional field-based colleagues
- Alignment with HQ stakeholders to support patient access
- Candidates must be authorized to be employed in the U.S. by any employer
- This position requires permanent work authorization in the United States
- Nice-to-have: Patient/customer-facing access and reimbursement education experience
- Nice-to-have: Working proficiency in Polaris
- Nice-to-have: Experience working with a HUB
- Nice-to-have: Experience with Kite Works, DocuSign, copay portal administration, third-party vendors, Interim Care/free goods/bridge programs, PBM and major medical benefit coverage pathways
- Excellent written and verbal communication skills
- Exceptional relationship-building, critical-thinking, organizational, and collaboration skills
- Flexibility to work across different time zones if needed
- Ability to travel approximately 10% to 20%
Benefits
Comp & perks- Pfizer Global Performance Plan with a bonus target of 20.0% 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
