Cardiac Access Care Manager

Responsibilities

• 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 coordinating 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.
• 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.
• Deliver compliant education on reimbursement processes, coverage pathways, and patient access resources.
• 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 reducing delays in therapy initiation.
• Engage with payer organizations, as appropriate, to clarify coverage policies and support resolution of access challenges.
• Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.
• Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.

• 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 Cardiology 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 exist in the Rare Disease Community.

Demonstrates extensive experience in Reimbursement and Access support, with a strong understanding of coverage pathways, payer policies, and the prior authorization process. Proven ability to coordinate care and optimize patient access strategies within the Specialty Pharma sector.