Field Reimbursement Manager I&i Los Angeles,ca East - Pfizer

Pfizer

Verified Company

Los Angeles, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

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 inperson 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 RCapproved 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 claimsrelated issues by contacting payers to understand policy or procedures and to provide information on payer requirements.
Compliantly use Pfizer's designated case notes system

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

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:

Work Location Assignment:
Remote

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,