Jobs · OTHR

Dedicated Case Coordinator Mid West

Pfizer · Wichita, KS · 1 mo ago
OTHR$163k–$272k/yrFull-time
We need to produce HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, no invented or summarized away detail. Remove boilerplate, navigation, legal, EEO, scam warning, duplicated lines, application instructions. Must not include sections with filler like "commensurate with experience". Must not create Pay/Schedule/Benefits unless posting actually states them. The posting includes salary range, bonus target, benefits description, work location assignment, travel %, time zone, relocation package note, etc. So we have Pay (salary range, bonus target, long term incentive), Benefits (401k, vacation, leave, health benefits), Schedule (work location remote, travel 10-20%, time zone central). Also maybe "Other Job Details" includes relocation assistance note, etc. We'll include those. We need to structure sections: About the role (maybe from first paragraph "Why Patients Need You ..."? Actually that's description of role). Responsibilities (list of duties). Requirements (must-have qualifications). Qualifications (maybe nice-to-have? but we can combine). Skills (knowledge & skill sets desired). Benefits, Pay, Schedule. We must not repeat job title as heading. Use

for each section heading. We need to use
  • for any list of duties/requirements/benefits. Use

    for prose. We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include details like specific tasks: "own 100% of assigned cases", "be central point-of-contact", etc. Must not omit any. We need to be careful not to include boilerplate like "Eligible for Relocation Package – NOLAST DAY TO APPLY - 9/18/2026" maybe that's a date; but that's application instruction? It's a deadline; we should remove application instructions. The instruction says remove application instructions. So we should drop "LAST DAY TO APPLY - 9/18/2026". Also "Eligible for Relocation Package – NO" maybe incomplete; but we can keep relocation assistance note if it's substantive? It says "Relocation assistance may be available based on business needs and/or eligibility." That's substantive. We'll keep that. We must also drop "Sunshine Act Pfizer reports payments..." etc as legal boilerplate. Remove that. Also remove "Learn more at Pfizer Candidate Site – U.S. Benefits | (uscandidates.mypfizerbenefits.com)." That's maybe benefits link; could be considered benefits info? It's a link to learn more; maybe we can keep benefits description but drop the link? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The link is not exactly boilerplate but could be considered navigation; but it's a reference to benefits. Might be okay to keep? Safer to drop the link line, but we already have benefits description; we can keep the description and drop the link. Also drop "Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States." That's substantive about pay location; we should keep that? It's about pay; it's relevant. We'll keep. Also "This role is posted in multiple locations. If you are applying for the role in an secondary job posting location where pay transparency regulations apply, your Talent Advisor will share the local pay information with you during the first interview." That's about pay transparency; maybe keep as part of Pay section? It's about pay info. Could keep. Also "Relocation assistance may be available based on business needs and/or eligibility." Keep. Also "Candidates must be authorized to be employed in the U.S. by any employer. U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future." That's a requirement; we should keep under Requirements or Qualifications. Also "Sunshine Act ..." we decided to drop as legal. Now we need to extract sections. Let's parse the posting: 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." That's About the role. Next: "What You Will Achieve The DCC is a subject-matter expert on reimbursement, access, and coverage issues that can educate patients/caregivers and healthcare providers on matters relating to reimbursement, access, and coverage. The DCC will serve as the primary point of contact for patients/caregivers and healthcare providers regarding the status of their request for reimbursement support and access assistance and will also provide updates to patients/caregivers and healthcare providers on their status as appropriate. The DCC holds end-to-end case ownership: benefits investigation and verification, prior authorization and appeals support, appointment and baseline assessment coordination, Interim Care and voucher administration, copay support, prescription triage, and scheduled post-fill follow-up." That's Responsibilities (maybe also What You Will Achieve). We'll treat as Responsibilities. Next: "How You Will Achieve It Case Ownership and the Patient Journey Own 100% of assigned cases and drive the continual management and progression of the patient journey, from HUB enrollment through post-fill follow-upBe 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 coverageMaintain 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 processSupport access with HCPs and opted-in patients/caregivers who have been prescribed a PDPA OR VFM product Benefits Investigation And Financial Navigation 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 VFMObtain all missing information on the Patient Enrollment Form (PEF) and verify the testing, voucher, and Interim Care options selected by the HCP officeWalk the patient through out-of-pocket cost, deductibles, copay options, and the reimbursement program, including the impact of maximizers and accumulatorsVerify coverage for the product and for required baseline tests across both PBM and major medical insurance for VFMOversee the entire prior authorization process, including submission and verification with both the patient and the providerConduct benefit investigation and verification (BI/BV) calls directly with payers and patients for patients with 3rd party restrictionsConfirm 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 Appointment and Assessment Coordination Schedule, reschedule and confirm patient appointments in coordination with the patient, the provider, and the vendorSecure 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 Program and Copay Administration Once IC is approved, manage all Interim Care (IC) program administrative requirements and deadlines with the provider and the patient, including Extended Interim Care programsConfirm 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 cardOwn copay eligibility attestation responsibilityFollow up with the patient post-fill to confirm the copay card is functioning correctly Prescription Triage, Fulfillment, and Ongoing Follow-Up Triage the voucher, paid prescription, and/or Interim Care fill within PolarisContact the patient at 10 days and again at 45 days post-prescription, confirming that no logistical or financial questions remain outstanding Case and Systems Ownership Manage and update various case types in Polaris, using its texting, faxing, and prescription triage capabilitiesView and interpret prior authorization, appeal, and PEF documentation for accuracyShare and manage cases with HUB partners across all patient journeysCoordinate 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 casesMaintain case comments as a real-time account of the patient journey, including a recap of every call made to the HCP and the patientUse the Kite works encrypted email system for correspondence with patients and providersManage the Docusign process with patients to obtain required consentsDevelop an organized, concise, and compliant way to manage assigned patient cases within established time frames Compliance, Safety Reporting, and Communication 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 journeyOperate within the tighter content controls and system permissions that apply to this roleCompliantly communicate the access landscape and options to patients/caregivers and HCPsLink the patient access support to meet patient needs, using Brand RC-approved materialsConduct yourself with the utmost discretion and confidentialityAdhere to strict company compliance guidelines and proceduresWork and lead cross-functionally with internal and external colleagues, compliantly, to improve the patient access journeyEffectively link customer insights to the offerings and approved resources to address patient access barriersBuild trust through compliant follow-up and knowledge of the access journeyDemonstrate excellence in responsible business communication, both written and spoken" That's a long list of responsibilities/duties. We'll need to break into bullet list. Next: "Qualifications Must-Have 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 documentationDemonstrated ability to communicate directly with patients, with providers, and with cross-functional colleaguesExperience conducting benefit investigation and verification directly with payers, and working knowledge of prior authorization and appeals processesWorking knowledge of copay programs, copay maximizers and accumulators, vouchers, and free or interim care programsAbility to own a high volume of concurrent cases across a patient journey that could average approximately 20 days, with disciplined documentation and follow-throughAbility to meet adverse event reporting obligations in a role with frequent, direct patient contactStrong 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)." That's Requirements (must-have). Next: "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 administrationExperience coordinating with third-party vendors on patient assessment, testing, or specialty pharmacy logistics (e.g., IQVIA/MDX, Sonexus)Experience supporting Interim Care, free goods

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