Rare Cardiac Access Care Manager Gulf Coast
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.
Responsibilities
- 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.
- Aid 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, 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.
- Facilitate communication between HCP offices, payers, and patient support programs to ensure efficient navigation of the reimbursement process.
- 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.
- Participate in account planning and contribute to coordinated, patient-centric approaches to access.
Qualifications
- Demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
- 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions, 9 with Masters, BSN or Rph.
- 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 Cardiology 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.
- Exceptional communication and presentation skills, strategic planning and success in implementation of plans.
- Demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple stakeholders to coordinate various unique objectives.
- Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures.
- 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.
Skills
- High degree of Business Acumen and deep understanding of market dynamics and drivers in the Access space and accounts.
Benefits
- 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.
Pay
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.
Schedule
Non-standard Work Schedule, Travel Or Environment Requirements: Operate a Pfizer company car and regularly travel by air to attend external meetings and meetings or conferences. Travel to HCP offices as needed. Travel is expected to be approximately 30% of the time with overnight travel required. Must live within the geography, or within 25 miles or closer to territory boundaries.