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Cardiac Access Care Manager

Jobtailor

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. Requirements 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. Core Competencies 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. #J-18808-Ljbffr Jobtailor

Vacancy posted 6 days ago
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