Dedicated Care Coordinator New Jersey

We need to output HTML fragment with sections: About the role? The posting includes "Why Patients Need You" intro, then "What You Will Achieve", "How You Will Achieve It", then sub-sections under that: Case Ownership..., Benefits Investigation..., Appointment..., Program..., Prescription..., Case and Systems Ownership..., Compliance..., then Qualifications (Must-Have, Nice-to-Have, Knowledge & Skill Sets Desired), then Other Job Details (Work Location Assignment, Travel, Time Zone, Eligible for Relocation Package, Last day to apply, Salary range, Bonus, Benefits, etc). We need to include sections only when there is real specific content. We must not repeat job title as heading. Use

for section headings. Use

• for any list of duties/requirements/benefits, and

  for prose. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove "LAST DAY TO APPLY - 9/18/2026"? That's application instruction? It's a date; maybe considered application instruction, but it's a deadline. The instruction says remove application instructions. Likely we should drop that line. Also "Eligible for Relocation Package – NOLA"? Actually says "Eligible for Relocation Package – NOLAST DAY TO APPLY - 9/18/2026". That seems garbled. Probably we should keep relocation assistance mention? It says "Relocation assistance may be available based on business needs and/or eligibility." That's a benefit? Could be included in Benefits? But we have a Benefits section only if posting actually states them. It does state benefits: comprehensive benefits list. So we will include Benefits section with list. Pay section: posting states annual base salary range and bonus target. So we include Pay section. Schedule: not mentioned besides remote work 5 days a week, travel 10-20%, time zone Eastern. That's schedule? Could be considered schedule but not explicit hours. Might not include Schedule section unless explicit. The instruction: never create Pay/Schedule/Benefits sections unless posting actually states them. It does state Work Location Assignment (remote 5 days a week) and travel percentage. That's about schedule/location. Might be considered schedule? But we could include a "Work Location" section? Not allowed headings except specified list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we could put schedule info under Schedule heading if we have schedule details. We have remote work 5 days a week, travel 10-20%, time zone Eastern. That's schedule/location. So we can include Schedule section with that. We also need About the role section: maybe the intro "Why Patients Need You" and description of role. That qualifies as About the role. Responsibilities: we have many duties under "How You Will Achieve It" sub-sections. Could combine into Responsibilities. Requirements: maybe qualifications must-have? Could be Requirements. But we also have Qualifications heading separate. The instruction list includes both Requirements and Qualifications as possible headings. We need to decide. Usually Requirements = must-have qualifications. Qualifications could be nice-to-have? But we have both Must-Have and Nice-to-Have under Qualifications. Could treat Must-Have as Requirements, Nice-to-Have as Qualifications? Or combine all under Qualifications. The instruction: use headings only when posting has real specific content for it. We have content for both Requirements and Qualifications. We'll make Requirements for Must-Have, and Qualifications for Nice-to-Have + Knowledge & Skill Sets Desired? Might be overlapping. Better: Use Requirements for Must-Have, Qualifications for Nice-to-Have + Knowledge & Skill Sets Desired (since they are qualifications). Skills could be separate but we have skill sets desired; could put under Skills. But we already have Knowledge & Skill Sets Desired. Could map to Skills heading. Thus sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to ensure we don't create empty sections. Now extract content. About the role: The first paragraph: "Why Patients Need You The Inflammation and Immunology Dedicated Case Coordinator (DCC) is a non-promotional, field-based role that supports patients’ access to PDPA and VFM products when prescribed by a licensed healthcare provider. The DCC owns the continual management and progression of the patient journey — from HUB enrollment through post-fill follow-up — working directly with patients, providers, payers, HUB partners, and third-party vendors. It is a dual patient- and HCP-facing role spanning a patient journey, and the colleague in this role carries 100% ownership of every case in their assigned geography." We can put that in

  . Responsibilities: All the duties under "How You Will Achieve It" sub-sections. We'll list them as

  • items. Let's gather responsibilities bullet points: - Own 100% of assigned cases and drive the continual management and progression of the patient journey, from HUB enrollment through post-fill follow-up - Be the central point-of-contact for patients/caregivers and HCP providers regarding the status of their request for reimbursement and access support related to a patient case. - Answer questions from patients/caregivers relating to access and coverage - Maintain a clear understanding of the patient access journey and requirements at each stage of the process, as well as the role played by patients/caregivers and HCP providers in the process - Support access with HCPs and opted-in patients/caregivers who have been prescribed a PDPA OR VFM product - Conduct the Summary of Benefits (SOB) discussion required for every HUB-enrolled patient, reviewing both the product benefit structure, any associated cost and the baseline appointments for VFM - Obtain all missing information on the Patient Enrollment Form (PEF) and verify the testing, voucher, and Interim Care options selected by the HCP office - Walk the patient through out-of-pocket cost, deductibles, copay options, and the reimbursement program, including the impact of maximizers and accumulators - Verify coverage for the product and for required baseline tests across both PBM and major medical insurance for VFM - Oversee the entire prior authorization process, including submission and verification with both the patient and the provider - Conduct benefit investigation and verification (BI/BV) calls directly with payers and patients for patients with 3rd party restrictions - Confirm and communicate product coverage, cost, prior authorization and appeal requirements, Interim Care program PA and Appeal deadlines, and baseline assessment tests to HCP and patient - Schedule, reschedule and confirm patient appointments in coordination with the patient, the provider, and the vendor - Secure the appropriate confirmation communication back from the provider (CFT) - Coordinate compliantly with IQVIA/MDX on patient assessment tests — confirm tests are completed and reschedule where needed - Once IC is approved, manage all Interim Care (IC) program administrative requirements and deadlines with the provider and the patient, including Extended Interim Care programs - Confirm voucher need and eligibility with the provider and patient, and triage the voucher for shipment to the patient - Maintain Copay portal access and help approved commercial patients secure a copay card - Own copay eligibility attestation responsibility - Follow up with the patient post-fill to confirm the copay card is functioning correctly - Triage the voucher, paid prescription, and/or Interim Care fill within Polaris - Contact the patient at 10 days and again at 45 days post-prescription, confirming that no logistical or financial questions remain outstanding - Manage and update various case types in Polaris, using its texting, faxing, and prescription triage capabilities - View and interpret prior authorization, appeal, and PEF documentation for accuracy - Share and manage cases with HUB partners across all patient journeys - Coordinate as appropriate with other Pfizer colleagues and Patient Support Program/HUB employees, via tasks and secure messages to requests for action, to help resolve problems with individual patient cases - Maintain case comments as a real-time account of the patient journey, including a recap of every call made to the HCP and the patient - Use the Kite works encrypted email system for correspondence with patients and providers - Manage the Docusign process with patients to obtain required consents - Develop an organized, concise, and compliant way to manage assigned patient cases within established time frames - Report adverse events (AEs) in accordance with company requirements — AE reporting volume is elevated in this role, patient contact is more frequent and spans the entire patient journey - Operate within the tighter content controls and system permissions that apply to this role - Compliantly communicate the access landscape and options to patients/caregivers and HCPs - Link the patient access support to meet patient needs, using Brand RC-approved materials - Conduct yourself with the utmost discretion and confidentiality - Adhere to strict company compliance guidelines and procedures - Work and lead cross-functionally with internal and external colleagues, compliantly, to improve the patient access journey - Effectively link customer insights to the offerings and approved resources to address patient access barriers - Build trust through compliant follow-up and knowledge of the access journey - Demonstrate excellence in responsible business communication, both written and spoken That's a lot; we can keep as list. Requirements (Must-Have): list: - B.S. or B.A. Degree - 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions. - 6 months minimum as a FRM, PAC, FAS or similar experience in access and Reimbursement and working with Polaris CRM System. - Working proficiency in Polaris, including case management and documentation, prescription triage, and interpretation of PA, appeal, and PEF documentation - Demonstrated ability to communicate directly with patients, with providers, and with cross-functional colleagues - Experience conducting benefit investigation and verification directly with payers, and 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 across a patient journey that could average approximately 20 days, 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 knowledge of the Specialty Medication area. - Appropriate and compliant communication and collaboration with cross-functional field-based colleagues (Sales, Medical, FRM, PCA/SAS, KAD, Government Relations) to ensure optimal and appropriate patient access in both in-patient and out-patient accounts. - Alignment with HQ stakeholders to ensure appropriate understanding of, and support for patient access (e.g., Brand and Customer Marketing teams and PCA/SAS teams). Qualifications (Nice-to-Have + Knowledge & Skill Sets Desired): combine: Nice-to-Have: - Experience in a Patient and/or customer facing role requiring access and reimbursement education. - Experience working with a HUB. - Experience with Kite works or a comparable encrypted email platform, Docusign, and copay portal administration - Experience coordinating with third-party vendors on patient assessment, testing, or specialty pharmacy logistics (e.g., IQVIA/MDX, Sonexus) - Experience supporting Interim Care, free goods, or bridge programs - Experience with both pharmacy benefit (PBM) and major medical benefit coverage pathways Knowledge & Skill Sets Desired: - Excellent communication skills, both written and verbal - Exceptional relationship building skills, especially with elderly age groups - Trust - Integrity - Empathy - Patience - Deliver meaningful & concise presentations - Strong attention to detail and organizational skills - Exceptional critical thinking skills, ability to understand complex processes and effectively communicate to diverse community of patients - Outstanding collaboration and networking abilities - Ability to work in a team environment - Understanding of Specialty Pharmaceuticals