ENDO/IG Access Care Manager - West

SUMMARY   As part of Pfizer Specialty Care, this individual will report to the Regional Director, Patient Access & Reimbursement. The   Access   Care   Manager   ( ACM ) serves as a field-based access leader responsible for integrating patient journey ownership, reimbursement   expertise , and account-level strategy to ensure   appropriate patient   access. This role combines high-touch patient engagement with advanced subject matter   expertise   in reimbursement, payer policy, and coverage strategy, acting as a trusted partner to healthcare providers and internal stakeholders.

RESPONSIBILITIES   Patient Journey Leadership & Case Management   Serve as the primary point of contact for   consented   patients across the treatment journey from enrollment through therapy initiation and continuation.   Conduct    patient   needs assessments addressing coverage, affordability, and logistical barriers to access   for consented patients.   Assist   in c oordinat ing   care across healthcare providers, caregivers, and sites of care to ensure continuity and   timely   progression to therapy   for consented patients .   Maintain accountability for end-to-end patient progression, ensuring proactive identification and resolution of barriers.   Reimbursement Subject Matter Expertise   Act as   a   field-based expert on reimbursement, coverage pathways, and payer policy   impacting   Pfizer therapies.   Provide guidance   on   the   prior authorization   process , step edits, coding, and payer-specific requirements.   Support the resolution of reimbursement challenges through   appropriate escalation   and coordination.   HCP Education & Training   Deliver compliant   education on   reimbursement processes, coverage pathways, and patient access resources ,   including   hub   services, enrollment processes, and financial   assistance   programs to improve access efficiency.   Account-Level Strategy & System Optimization   Develop and execute account-level access strategies to improve patient access at   scale .   Identify systemic   barriers  and   implement solutions to optimize workflows and   assist in   reduc ing   delays in therapy initiation.   Payer Interaction & Access Resolution   Engage with payer organizations, as   appropriate , to clarify coverage policies and support resolution   of     access   challenges.   Facilitate communication between HCP offices, payers, and   patient   support programs to ensure efficient navigation of the reimbursement process.   Internal Strategic Influence & Market Insights   Provide   actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.   Support development of cross-functional strategies by translating field insights into recommendations.   High degree   of   Business Acumen and deep   understanding   of market dynamics and drivers in the   Access space and accounts.   Cross-Functional & Commercial Alignment   Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.   Participate in account planning and contribute to coordinated, patient-centric approaches to access.

8 + years of pharmaceutical (or related) experience in customer-facing roles/functions, 9 with Masters,  BSN  or  Rph   1+ years in Access and Reimbursement support role   Minimum 3–5 years of   Specialty Pharma   experience, preferably within   the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency. Reimbursement and Access experience is   a must   and experience in the   Endocrinol o gy   or   I mmunoglo bulin   sector is preferred .  Strong understanding of Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of the   Specialty   policy dynamics that