Jobs · Healthcare · Texas

Rare Cardiac Access Care Manager Texas

Pfizer · Greater Houston · 1 wk ago
Healthcare$139k–$232k/yrFull-time

As part of Pfizer Specialty Care, 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

  • 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.
    • Demonstrate a 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.

Requirements

  • 8+ years of pharmaceutical (or related) experience in customer-facing roles/functions (9+ years with a Master’s, BSN, or RPh).
  • 1+ years in an 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 required; 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 in the Rare Disease Community.
  • Exceptional communication and presentation skills, strategic planning, and success in implementation of plans.
  • Demonstrated leadership and success working across internal boundaries, collaborating with multiple stakeholders to coordinate unique objectives.
  • 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 and experience in responsible business communication, both written and spoken.
  • Valid US driver’s license and driving record in compliance with company standards. Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired.
  • Must live within the geography or within 25 miles or closer to territory boundaries (Territory: TX).

Schedule

  • Non-standard work schedule with travel expected to be approximately 30% of the time, including overnight travel.
  • Operate a Pfizer company car and regularly travel by air to attend external meetings, conferences, and HCP offices as needed.

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.
  • Eligibility to participate in Pfizer’s share-based long-term incentive program.
  • Relocation assistance may be available based on business needs and/or eligibility.

Benefits

Pfizer offers comprehensive and generous benefits, including:

  • 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.
  • Health benefits to include medical, prescription drug, dental, and vision coverage.

Learn more at Pfizer Candidate Site – U.S. Benefits.

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