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I & I Access and Reimbursement Regional Director

Job in Des Moines, Polk County, Iowa, 50319, USA
Listing for: Pfizer
Full Time position
Listed on 2026-10-13
Job specializations:
  • Management
    Healthcare Management
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 189000 - 315000 USD Yearly USD 189000.00 315000.00 YEAR
Job Description & How to Apply Below
Position: I & I Access and Reimbursement Regional Director, Central

The Regional Director, I & I is the direct manager and strategic field leader for a regional team of Field Reimbursement Managers supporting Pfizer’s I & I portfolio. FRMs report directly to this role and operate under its strategic direction, day-to-day guidance, compliance oversight, and performance management. The Regional Director leads a team of field-based access leaders who integrate patient journey ownership, reimbursement subject matter expertise, payer-policy navigation, HCP office education, and account-level access strategy to remove barriers and improve appropriate patient access.

Key Responsibilities Direct Management of Field Reimbursement Managers
  • Serve as the direct supervisor for all regional FRMs — FRMs report directly to this role and operate under its day-to-day direction, compliance oversight, and strategic guidance
  • Direct and oversee FRM execution as field-based access leaders, including patient needs assessments, reimbursement navigation, HCP office education, payer-policy clarification, account workflow optimization, and hub enrollment support
  • Set and enforce performance expectations aligned to national KPIs, including enrollment completion, timely therapy initiation, continuation of therapy, case resolution timelines, access barrier removal, compliant outreach activity, and account-level impact
  • Conduct regular field rides, call coaching, performance reviews, and individual development conversations
  • Lead hiring, onboarding, and performance management for the regional FRM team in partnership with HR and the National Lead
  • Ensure all FRM activity is conducted consistently with Pfizer's mission, compliance standards, and approved role scope
  • Manage regional budget, including headcount planning, travel spend, and program resources in alignment with national guidelines
Patient Access & Enrollment
  • Coach and hold FRMs accountable for end-to-end patient journey leadership, including proactive needs assessment, barrier identification, timely escalation, continuity across enrollment, therapy initiation, and continuation, and appropriate coordination with HCP offices, caregivers, sites of care, and support programs
  • Monitor and address friction points in the patient access journey, including prior authorization delays, step edits, coding or documentation gaps, affordability concerns, coverage gaps, specialty pharmacy fulfillment issues, and enrollment abandonment
  • Serve as an escalation resource for complex patient access cases within the region, ensuring barriers are addressed through approved pathways and appropriate cross-functional coordination
  • Champion the approved consent enrollment model and support continuous improvement in enrollment efficiency
  • Ensure FRMs consistently apply a patient-first, non-clinical support model that improves the patient and provider experience while remaining within approved role scope
Reimbursement Expertise, Payer Policy & Access Resolution
  • Build and sustain team-level reimbursement expertise across regional payer landscape, coverage pathways, prior authorization, step edits, appeals, coding, claims processes, medical and pharmacy benefits, and payer-specific access requirements
  • Identify payer policy trends, coverage gaps, formulary changes, documentation requirements, and reimbursement challenges impacting patient access; communicate insights proactively to internal stakeholders
  • Provide oversight and escalation support for appropriate payer-related access resolution activities, ensuring FRMs operate within approved role scope while helping clarify coverage policies and coordinate efficient reimbursement navigation
  • Partner with market access, trade, and HEOR teams to align field execution with national account strategies
  • Translate complex payer and reimbursement policy into clear, compliant coaching guidance for FRMs and actionable education for HCP office staff
Provider Education, Account Strategy & System Optimization
  • Establish standards for compliant HCP and office staff education, ensuring FRMs deliver accurate, approved, and actionable guidance on reimbursement processes, coverage pathways, Hub services, enrollment workflows, financial assistance resources, and patient access resources
  • Lead regional account-level access strategy by guiding FRMs in identifying systemic workflow barriers within provider offices, developing scalable solutions, and improving access efficiency across high-priority accounts, large group practices, IDNs, and academic medical centers
  • Serve as a strategic…
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