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Field Reimbursement Manager I&I KNOXVILLE, TN
4 months ago
As part of Pfizer North America, this individual will report directly to I&I Access & Reimbursement Regional Director. The Field Reimbursement Colleague will perform their duties under the strategic vision of the Pfizer Business Units' overarching access and reimbursement plan and compliance standards.
It will be this person's role and responsibility to:
- 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.
This person must exhibit strong communication, organizational, and relationship skills to be effective with a host of diverse customers.
- 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.
QUALIFICATIONS:
- 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. This individual must also have 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.
Preferred Qualifications:
- Additional certification in coding and reimbursement is preferred but not required.
- Coding and billing knowledge or certification a plus but not required.
Other Job Details:
- Last Date to Apply for Job: May 22, 2024
- Additional Location Information: Remote - select candidate must live within the identified territory including Knoxville, Chattanooga and western TN , Lexington KY and Northwest NC
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.
Work Location Assignment:Remote
The annual base salary for this position ranges from $131,200.00 to $218, 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 and eligibility to participate in our share based long term incentive program. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's moments. Benefits offered include 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, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site - U.S. Benefits | ). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States.
Relocation assistance may be available based on business needs and/or eligibility.
Sunshine Act
Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative.
EEO & Employment Eligibility
Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States.
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