Behavioral Health Care Manager

This job is with Pfizer, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly.

ROLE 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.

ROLE 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 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.

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 reducing 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.

BASIC QUALIFICATIONS

Candidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.

• 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.

• Experience demonstrating exceptional communication and presentation skills, strategic planning and success in implementation of plans. This individual must also have demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple 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 driving record in compliance with company standards. Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired.

NON-STANDARD WORK SCHEDULE, TRAVEL OR ENVIRONMENT REQUIREMENTS

Operate a Pfizer company car and regularly travel by air to attend external meetings and meetings or conferences. Travel to HCP offices as needed. Travel is expected to be approximately 30% of the time with overnight travel required. Must live within the geography, or within 25 miles or closer to territory boundaries.

OTHER JOB DETAILS

Last day to apply: August 2, 2026
Territory : CA - lives in Central or Northern California

The annual base salary for this position ranges from $139,100.00 to $231,900.00. In addition, this position is eligible for participation in Pfizer's Global Performance Plan with a bonus target of 17.5% of the base salary and eligibility to participate in our share based long term incentive program. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site - U.S. Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States. This role is posted in multiple locations. If you are applying for the role in an secondary job posting location where pay transparency regulations apply, your Talent Advisor will share the local pay information with you during the first interview.

Relocation assistance may be available based on business needs and/or eligibility.

Candidates must be authorized to be employed in the U.S. by any employer.

U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future.

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, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States.

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