Jobs · Hawaii

ENDO/IG Access Care Manager - West

Pfizer · Honolulu, HI · 1 mo ago
$139k–$232k/yrFull-time

About the role

This individual will report to the Regional Director, Patient Access & Reimbursement. The Access Care Manager (ACM) serves as a field-based access leader responsible for integrating patient journey ownership, reimbursement expertise, and account-level strategy to ensure appropriate patient access.

Role Responsibilities

  • Patient Journey Leadership & Case Management
    • 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.
  • Reimbursement Subject Matter Expertise
    • 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.
  • HCP Education & Training
    • 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.
  • Account-Level Strategy & System Optimization
    • 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.
  • Payer Interaction & Access Resolution
    • Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges.
    • Facilitate communication between HCP offices, payers, and patient support programs to ensure efficient navigation of the reimbursement process.
  • Internal Strategic Influence & Market Insights
    • Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.
    • Support development of cross-functional strategies by translating field insights into recommendations.
  • High degree of Business Acumen and deep understanding of market dynamics and drivers in the Access space and accounts.
  • Cross-Functional & Commercial Alignment
    • Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.
    • Participate in account planning and contribute to coordinated, patient-centric approaches to access.

    Qualifications

    • 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions, 9 with Masters, BSN or Rph
    • 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.
    • Reimbursement and Access experience is a must and experience in the Endocrinology or Immunoglobulin sector is preferred.
    • 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.
    • Demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple stakeholders to coordinate various unique objectives.
    • Proven track record of collaborating broadly with a diverse range of customers, clients, and stakeholders.
    • Training in and experience in responsible business communication both written and spoken.
    • Valid US driver’s license and driving record in compliance with company standards.

    Benefits

    • The annual base salary for this position ranges from $139,100.00 to $231,900.00.
    • In addition, this position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of the base salary and eligibility to participate in our share based long term incentive program.
    • We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments.
    • Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage.

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