National Payer Account Medical Lead

2 weeks ago


New York, United States Pfizer Full time

ROLE SUMMARY

ROLE RESPONSIBILITIES- Assume the role of the foremost authority on matters concerning the Payer customer segment, including national and regional payers, managed care organizations, Kaiser, Federal (including the VA and DOD), Specialty Pharmacy, Trade/Retail, and Employer accounts, staying current with market trends, regulatory changes, and healthcare landscape developments that impact payer decisions and reimbursement policies.-
- Establish and maintain strong relationships with key stakeholders within payer accounts, including medical directors and other decision makers.- Maintain required level of knowledge of relevant TA/disease states and Pfizer medicines to be broadly knowledgeable, providing high level therapeutic area/product information to both internal and external stakeholders as needed.- Serve as a conduit and resource for Medical Information and customer insights, collaborating internally to provide requested information to payer or other managed care customers as allowed by Pfizer guidance and sharing customer viewpoints with Pfizer as appropriate.-
- Maintain effective and appropriate communication and collaboration among headquarters medical colleagues, Medical Information, and other Pfizer Field Medical colleagues across TAs- Demonstrate expertise in communication across multiple channels, including, but not limited to, live and virtual presentations in small or large settings, written communication, and telephone or virtual conversations.- Optimize patient centricity of medical communications and deliverables, incorporating Health Literacy and cultural awareness principles to ensure that patients remain the ultimate focus.

Field Medical Cross-TA PAML, Role Responsibilities- Serve as the Payer Account Medical Lead for an assigned set of payer customers which could include national and regional payers, managed care organizations, Kaiser, Federal (including the VA and DOD), Specialty Pharmacy, Trade/Retail, and Employer accounts.-
- Provide or facilitate the delivery of objective and scientifically sound medical information regarding Pfizer’s medicines and the diseases they treat through use of pharmacoeconomic models, outcomes tools, educational programs, Health Outcomes Projects, and Evaluations (HOPEs), non-interventional studies, and other collaborations.- Utilize deep understanding of medical strategy within payer customers to design and execute customer-specific projects, collaborations, strategic medical partnerships, and non-interventional studies with the goal of advancing quality of care and improving patient outcomes in collaboration with cross-functional partners when appropriate.- Lead the development of an advanced Medical Annual Account Plan that aligns with and more fully informs the broader enterprise Payer Account Plan, while representing Medical Affairs, sharing strategic medical insights from the customer, and identifying opportunities for collaboration to improve patient care.- Serve as the Medical point of contact for aligned US Market Access Account teams, US Market Access leadership, and other cross-functional Commercial colleagues, developing appropriate joint customer goals and individual strategies to meet medical needs with prioritized payers and other managed care customers.- Align corporate medical priorities and specific market needs to advance the quality and value of patient care in areas of mutual interest, and to identify healthcare delivery knowledge gaps and areas for quality improvement.- Engage Regional and National stakeholders at the organizational level and within the market to understand their population health priorities and identify opportunities that align with the strategic medical objectives of Pfizer across all TAs.- Demonstrate significant leadership, representation, and agency responsibilities with the broader Payer Account and Medical Teams, enterprise-wide (cross-TAs), and with Global Access & Value (GAV), including US Market Access Account Management, PHI (GAV) Health Innovation Center and Center of Excellence leadership, Commercial Account stakeholders, and broader organization levels across Pfizer.- Compliantly collaborate with internal Pfizer colleagues (including PHI, Field Medical, Headquarters Medical, and HEOR) to understand the outcomes of interest and data analysis needs of assigned customers.- Lead and/or manage a significant volume of projects developed in a field-based environment, while exhibiting the ability to prioritize, successfully implement, and demonstrate excellent judgment skills in a continuous improvement environment.- Serve as a Payer and Managed Care Medical resource to HQ Medical Affairs, other Field Medical colleagues, and cross
- functional or enterprise-wide internal stakeholders and workstreams to ensure inclusion of Payer relevance in medical planning, and development of brand and/or field medical customer engagement strategy.- Deliver approved medical content about Pfizer medicines a relev



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