Care Coordinator
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Job Description
Dedicated Care Coordinator managing Pfizer specialty-drug patient access, reimbursement, coverage, and fulfillment journeys. Supporting patients and providers remotely across assigned U.S. geography.
Responsibilities:
- Own 100% of assigned cases and manage the patient journey from HUB enrollment through post-fill follow-up
- Serve as the central point of contact for patients/caregivers and healthcare providers regarding reimbursement and access support
- Answer access and coverage questions and educate patients, caregivers, and providers
- Conduct summary of benefits discussions and obtain missing enrollment information
- Review out-of-pocket costs, deductibles, copay options, reimbursement programs, maximizers, and accumulators
- Verify product and baseline-test coverage across PBM and major medical insurance
- Oversee prior authorization submissions, verification, appeals support, and deadlines
- Conduct benefit investigation and verification calls with payers and patients
- Schedule, reschedule, and confirm patient appointments and assessment tests
- Coordinate with IQVIA/MDX and other vendors on patient assessment testing
- Administer Interim Care, extended Interim Care, voucher, and copay programs
- Triage vouchers, paid prescriptions, and Interim Care fills within Polaris
- Contact patients 10 and 45 days post-prescription to resolve logistical or financial questions
- Manage and update cases in Polaris, including texting, faxing, prescription triage, and documentation
- Review prior authorization, appeal, and enrollment documentation for accuracy
- Share and manage cases with HUB partners and coordinate with Pfizer colleagues
- Maintain real-time case comments documenting patient and provider interactions
- Use Kite Works encrypted email and manage DocuSign consent processes
- Report adverse events according to company requirements
- Communicate compliantly using approved materials and follow company compliance guidelines
- Collaborate cross-functionally to improve patient access journeys and address access barriers
- Maintain discretion, confidentiality, trust, and compliant follow-up
Requirements:
- B.S. or B.A. degree
- 8+ years of pharmaceutical or related experience in customer-facing roles/functions
- Experience as an FRM, PAC, ACM, FAS, or within access and reimbursement
- Ability to communicate directly with patients, providers, and cross-functional colleagues
- Proficiency conducting benefit investigation and verification directly with payers
- Working knowledge of prior authorization and appeals processes
- Working knowledge of copay programs, copay maximizers and accumulators, vouchers, and free or interim care programs
- Ability to manage a high volume of concurrent cases with disciplined documentation and follow-through
- Ability to meet adverse event reporting obligations with frequent, direct patient contact
- Strong understanding of reimbursement, government payment systems, specialty pharmacy networks, co-pay assistance programs, and specialty medications
- Compliant communication and collaboration with cross-functional field-based colleagues
- Alignment with HQ stakeholders to support patient access
- Flexibility to work across different time zones if needed
- Ability to travel approximately 10% to 20%
- Candidates must be authorized to be employed in the U.S. by any employer
- Permanent work authorization in the United States required; U.S. work visa sponsorship is unavailable now or in the future
Benefits:
- Global Performance Plan bonus target of 20.0% of base salary
- Share-based long-term incentive program
- 401(k) plan with Pfizer Matching Contributions
- Additional Pfizer Retirement Savings Contribution
- Paid vacation, holiday, and personal days
- Paid caregiver/parental and medical leave
- Medical, prescription drug, dental, and vision coverage
- Relocation assistance may be available based on business needs and/or eligibility
- Remote work from home 5 days a week for remote colleagues
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