Field Access Lead - Oregon / San Francisco

Role Summary

Field Access Lead - Oregon / San Francisco. As part of Pfizer North America, this individual will report directly to Field Access Director. The Field Access Lead (FAL) will perform duties under the strategic vision of the Pfizer Business Units’ overarching access and reimbursement plan and compliance standards. The FAL will be the main point of contact for patient access, providing HCP offices with technical expertise to avert and resolve access and reimbursement issues and support patient access to Pfizer therapies.

Responsibilities

• Conduct office calls with HCPs and/or office staff to enable appropriate patient access to Pfizer products, including assistance in resolving reimbursement and coverage questions
• Provide 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
• Coordinate reauthorization process at designated accounts to ensure timely reauthorization and continuation of therapy
• 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 assist 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 Access Lead is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned area and to use that expertise to facilitate appropriate patient access
• Provide interpretive information and local market insights to internal Pfizer leadership as to the impact of potential reimbursement issues
• Exhibit strong communication, organizational, and relationship skills with diverse customers
• Maintain confidentiality and adhere to strict company compliance guidelines and procedures
• Communicate with stakeholders to adopt ideas, actions, or positions through logical messages without direct authority
• Link customer insights to 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 writing and speaking

Qualifications

• Minimum 7+ years pharmaceutical industry experience, typically in pharmaceutical sales and/or coding, access and reimbursement
• Reimbursement and Access experience preferred
• Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and policy dynamics across Pfizer Business Units/Brands
• B.S. or B.A. degree required
• Exceptional communication and presentation skills, strategic planning, problem-solving, and successful plan implementation; leadership across internal boundaries
• Experience in a highly regulated environment with compliance guidelines; proven collaboration with diverse customers, clients, and stakeholders
• Valid US driver’s license and driving record in compliance with company standards
• Ability to influence and coach others, oversee work of colleagues, and create business impact
• Understanding of payer policy processes, systems, and requirements for coverage and reimbursement
• Understanding of rules/regulations for reimbursement support services
• Ability to communicate technical elements of payer prescription approval processes

Preferred Qualifications

• Additional certification in coding and reimbursement preferred but not required
• Coding and billing knowledge or certification a plus but not required

Education

• B.S. or B.A. degree required