Description
The Patient Access Specialist (DCC) is a crucial role at Pfizer, focusing on reimbursement, access, and coverage issues for patients and healthcare providers. The successful candidate will have 0% ownership of every case in their assigned geography.
What You Will Achieve The DCC serves as the primary point of contact for patients and healthcare providers regarding reimbursement support and access assistance. They hold end-to-end case ownership, including benefits investigation, prior authorization, appointment coordination, and copay support.
Responsibilities
- Own 100% of assigned cases and drive the continual management and progression of the patient journey.
- Be the central point-of-contact for patients and HCP providers regarding the status of their request for reimbursement and access support.
- Conduct benefit investigations and verifications, including discussions with patients and providers about out-of-pocket costs and reimbursement programs.
- Coordinate appointments, assessments, and prior authorizations.
- Manage copay programs, including eligibility attestation and copay card administration.
- Triage prescriptions and conduct follow-up with patients post-fill.
- Maintain accurate and up-to-date case records in Polaris.
- Report adverse events in accordance with company requirements.
Requirements
- B.S. or B.A. degree with 8+ years of pharmaceutical experience in customer-facing roles.
- Experience in access and reimbursement, preferably as an FRM, PAC, ACM, or FAS.
- Strong communication and relationship-building skills.
- Proficiency in conducting benefit investigations and verifications.
- Working knowledge of copay programs, prior authorization, and appeals processes.
- Ability to own a high volume of concurrent cases.
Nice-to-Have
- Experience working with a HUB or in a patient/customer-facing role requiring access and reimbursement education.
- Working proficiency in Polaris.
- Experience with Kite works or a comparable encrypted email platform.
Benefits
- Comprehensive benefits package, including medical, prescription drug, dental, and vision coverage.
- 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.
Salary
- The annual base salary for this position ranges from $162,900.00 to $271,500.00.
- Eligibility to participate in Pfizer's Global Performance Plan with a bonus target of 20.0% of the base salary.
- Eligibility to participate in our share-based long-term incentive program.