Regional Director, Rare Cardiac West
Position Summary
The Regional Director, Rare Cardiac is the direct manager and strategic field leader for a regional team of Access Care Managers supporting Pfizer’s Rare Cardiac portfolio. ACMs report directly to this role and operate under its strategic direction, day-to-day guidance, compliance oversight, and performance management.
Key Responsibilities
Direct Management of Access Case Managers
Direct and oversee ACM execution as field-based access leaders, including patient needs assessments, reimbursement navigation, HCP office education, payer-policy clarification, account workflow optimization, and hub enrollment support
Set and enforce performance expectations aligned to national KPIs, including enrollment completion, timely therapy initiation, continuation of therapy, case resolution timelines, access barrier removal, compliant outreach activity, and account-level impact
Conduct regular field rides, call coaching, performance reviews, and individual development conversations
Lead hiring, onboarding, and performance management for the regional ACM team in partnership with HR and the National Lead
Ensure all ACM activity is conducted consistently with Pfizer's mission, compliance standards, and approved role scope
Manage regional budget, including headcount planning, travel spend, and program resources in alignment with national guidelines
Patient Access & Enrollment Coach
Monitor and address friction points in the patient access journey, including prior authorization delays, step edits, coding or documentation gaps, affordability concerns, coverage gaps, specialty pharmacy fulfillment issues, and enrollment abandonment
Hold ACMs accountable for end-to-end patient journey leadership, including proactive needs assessment, barrier identification, timely escalation, continuity across enrollment, therapy initiation, and continuation, and appropriate coordination with HCP offices, caregivers, sites of care, and support programs
Champion the approved consent enrollment model and support continuous improvement in enrollment efficiency
Ensure ACMs consistently apply a patient-first, non-clinical support model that improves the patient and provider experience while remaining within approved role scope
Reimbursement Expertise, Payer Policy & Access Resolution
Build and sustain team-level reimbursement expertise across regional payer landscape, coverage pathways, prior authorization, step edits, appeals, coding, claims processes, medical and pharmacy benefits, and payer-specific access requirements
Identify payer policy trends, coverage gaps, formulary changes, documentation requirements, and reimbursement challenges impacting patient access; communicate insights proactively to internal stakeholders
Oversee and escalate payer-related access resolution activities, ensuring ACMs operate within approved role scope while helping clarify coverage policies and coordinate efficient reimbursement navigation
Partner with market access, trade, and HEOR teams to align field execution with national account strategies
Translate complex payer and reimbursement policy into clear, compliant coaching guidance for ACMs and actionable education for HCP office staff
Provider Education, Account Strategy & System Optimization
Establish standards for compliant HCP and office staff education, ensuring ACMs deliver accurate, approved, and actionable guidance on reimbursement processes, coverage pathways, Hub services, enrollment workflows, financial assistance resources, and patient access resources
Lead regional account-level access strategy by guiding ACMs in identifying systemic workflow barriers within provider offices, developing scalable solutions, and improving access efficiency across high-priority accounts, large group practices, IDNs, and academic medical centers
Coach ACMs to participate appropriately in account planning and contribute to coordinated, patient-centric approaches that address practice-level access barriers and reduce delays in therapy initiation
Cross-Functional Coordination
Serve as the regional access leadership point of coordination across Brand, National Access & Reimbursement leadership, Field Sales, Key Account Directors, Patient Solutions, Hub partners, Legal/Compliance, Market Access, and other cross-functional stakeholders to ensure ACM execution is aligned, compliant, and patient-centered
Maintain strong relationships with Brand, Regional Business Directors, Key Account Directors, Patient Solutions, Market Access, and other cross-functional partners to support coordinated access strategy and clear ways of working
Partner with brand, market access, patient solutions, hub operations, and field leadership to identify systemic barriers, align resources, and surface field insights that inform strategy and execution
Coordinate with compliance and legal as needed to ensure all ACM activities are conducted within approved guidelines
Lead a Patients First strategy with leadership and cross-functional partners to create a well-coordinated access model that supports timely, seamless, and compliant patient and provider experiences
Champion Ways of Working within the organization
Reporting, Insights & Strategic Influence
Track, interpret, and report regional performance metrics on a regular cadence to the National Lead, connecting activity measures to patient access outcomes, account impact, and operational priorities
Agregate regional ACM insights on payer trends, reimbursement challenges, HCP workflow barriers, account dynamics, and access delays; translate those insights into actionable recommendations for National Access & Reimbursement leadership and cross-functional partners
Ensure accurate and timely documentation of patient interactions and case activity within approved platforms
Use field data, team observations, and market access intelligence to guide coaching priorities, account engagement strategy, escalation pathways, and continuous improvement opportunities
Qualifications
Bachelor's degree required; advanced degree (MBA, MPH, PharmD) preferred
Minimum 10 years of experience in pharmaceutical field operations, patient services, reimbursement, or access/hub management
Minimum 3–5+ years of people management experience leading, coaching, or developing field-based access, reimbursement, patient services, hub-facing, or customer-facing teams
Direct experience with specialty pharmacy, hub programs, or patient support services in a regulated environment
Strong working knowledge of the access and reimbursement landscape, including benefits investigation, prior authorization, step edits, appeals, payer policy, coverage pathways, specialty pharmacy fulfillment, and payer-specific coverage criteria relevant to Rare Cardiac/specialty products
Proven ability to build reimbursement subject matter expertise across a team and translate payer policy, patient access data, and field insights into regional action plans
Demonstrated ability to lead through influence across cross-functional teams
Demonstrated ability to manage a large geographic territory and travel 50–60% of the time. Valid US driver’s license and driving record in compliance with company standards