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Company

Pfizer · 4 hours ago

Field Reimbursement Manager - Nashville, TN

Nashville, TN

Full-time

Remote

Senior Level

$131K/yr - $219K/yr

7+ years exp

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Responsibilities

Conduct office calls with HCPs and office staff that have a need for support to enable appropriate patient access to Pfizer products, including assistance in resolving reimbursement and coverage questions.

Provide in-person and virtual education for HCPs/office staff regarding local/regional payer landscape, payer coverage and formulary change updates, payer policies (e.g., prior authorization, step edits, specialty pharmacy coverage) and patient support.

Distribute Pfizer RC-approved materials to HCPs/office staff relating to coverage and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides.

Provide education for HCPs/office staff regarding Hub financial assistance offerings, enrollment process, Hub HCP portal(s), and other Hub financial assistance brochures.

Reactively assisting HCP offices with coding and claims-related issues by contacting payers to understand policy or procedures and to provide information on payer requirements.

Compliantly use Pfizer’s designated case notes system.

The Field Reimbursement Manager is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions and to use that expertise to facilitate appropriate patient access to a prescribed Pfizer product.

The Field Reimbursement Manager will also provide, as needed, interpretive information and local market insights to relevant internal Pfizer leadership as to the impact of potential reimbursement issues.

Must conduct themselves with the utmost discretion and confidentiality.

Must adhere to strict company compliance guidelines and procedures.

Effectively and compliantly communicate with stakeholders to adopt ideas, actions, or positions through logical and engaging messages without direct authority.

Effectively link customer insights to the offerings and resources to address patient access barriers.

Build trust through follow up and knowledge of the access journey.

Demonstrate excellence in responsible business communication in both written and spoken communications.

Qualification

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Pharmaceutical industry experienceAccess experienceSpecialty Drug ReimbursementGovernment Payment SystemsProvider/Carrier NetworksCo-Pay Assistance ProgramsB.A. degreeStrategic planningCoding knowledgeBilling knowledgeCompliance with guidelinesCollaboration skills

Required

Minimum 7+ years pharmaceutical industry experience typically within the fields of pharmaceutical sales and/or coding and reimbursement.

Reimbursement and Access experience is a plus. Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the policy dynamics that exist across the various Pfizer Business Units/Brands.

B.S. or B.A. degree is required.

Experience demonstrating exceptional communication and presentation skills, strategic planning, and successful plan implementation.

Demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple relevant 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 a driving record in compliance with company standards.

Candidate 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.