Oncology Field Reimbursement Director (Patient Access Navigator) Southeast
Job Description
As part of the Worldwide Pharmaceutical Operations – Pfizer Oncology, this individual will report directly to US National Director, Oncology Patient Access and Reimbursement. The Oncology Field Reimbursement Director (Patient Access Navigator) will perform their duties under the strategic vision of the Pfizer Oncology Patient Solutions and Advocacy Team Plan and compliance standards.
ROLE SUMMARY:
The US Oncology Patient Access Navigator (PAN) is a non-promotional, field-based role that supports patient access to Elranatamab when prescribed by a patient’s physician. The PAN is a subject-matter expert on reimbursement, access, and coverage issues affecting Elranatamab within an assigned geographic region. The PAN educates patients and their caregivers on matters relating to reimbursement, access and coverage and communicates with patients and cross-functional stakeholders to reduce reimbursement barriers. The PAN will serve as the primary point of contact for patients and their caregivers regarding the status of their request for reimbursement support and access and will provide updates to patients on their status as appropriate. This colleague will report directly to the US Oncology Access & Reimbursement National Director. The PAN will perform their duties while adhering to all Pfizer policies and compliance standards.
ROLE RESPONSIBILITIES:
Be the primary point-of-contact with patients and their caregivers regarding the status of their request for reimbursement and access support for Elranatamab
Answer questions from patients/caregivers relating to access and coverage
Link the patient access support resources to meet patient needs, using RC-approved materials.
Coordinate as appropriate with other Pfizer colleagues and Patient Support Program /Hub employees to help resolve problems with patient cases
Maintain a clear understanding of the Elranatamab patient access journey and requirements at each stage of the process and the role played by patients/caregivers in the process
Compliantly communicate the access landscape and options to patients
Develop a concise and compliant way to manage assigned patient cases
Work and lead cross-functionally with internal and external colleagues compliantly to improve the patient access journey
Must conduct themselves with the utmost discretion and confidentiality
Must adhere to strict company compliance guidelines and procedures
Collaborate successfully with a diverse range of customers, clients, and stakeholders
Effectively, compliantly, and clearly communicate with stakeholders to adopt ideas, actions, or positions through logical and engaging messages without direct authority
Effectively link customer insights to the offerings and approved resources to address patient access barriers
Build trust through compliant follow-up and knowledge of the access journey
Demonstrate excellence in responsible business communication both written and spoken
It will be this person’s role and responsibility to support access with HCP’s and opted in patients that have been prescribed Elranatamab in both the hospital and outpatient setting.
The Patient Access Navigator’s responsibilities will be as follows:
Proactively engage with patient once patient is enrolled in POT and if patient “opts in” for Access Navigator Support
Coordinates timing & updates HCP/Care Champion (if applicable)
Complete welcome call to patient (HCP will send welcome kit to patient)
Relay Summary of Benefit information to all HCPs; discuss patient affordability and access concerns if raised by HCPs consistent with internal training and guidance
Complete initial needs assessment with patient, refer patient to Care Champions (POT) support if warranted by initial needs assessment
Initial needs assessment to include questions regarding the insurance coverage process & coordination, associated treatment cost, inpatient logistics, outpatient logistics and coordination, ongoing administrative, emotional & logistical burdens (reference: market research pain points).
Complete outbound call to HCP inpatient case manager/discharge planner to confirm discharge timing
Contact HCP inpatient discharge staff – confirm continuity of care for patient, update patient needs assessment to support timely discharge
Contact patient to confirm HCP outpatient site of care address, date of HCP outpatient appointment and other outpatient site of care logistics to ensure continuity of care for patient
Confirms with HCP product has been shipped to HCP outpatient facility prior to patient’s appointment
Confirms with HCP (outpatient facility and/or inpatient facility, if needed) that HCP outpatient appointment has been scheduled
Confirms next outreach call is scheduled
Outpatient treatment:
Contact patient to address outstanding reimbursement questions, confirm patient logistics for continuity of care with HCP outpatient facility, provide appointment reminders for treatment as determined by HCPs, refer patient to Care Champion for ongoing disease state education and referrals to third party logistics and emotional support (and similar support within scope of approved Care Champion responsibilities) after first injection
Proactive patient support would continue through Day 8, or after the first outpatient treatment. After that, the PAN would be available for reactive assistance, as many of the reimbursement support issues are not uncovered until after the medical claims have been processed. Support after 6 months of treatment initiation would not be anticipated.
ADDITIONAL POINTS:
Provide interpretive guidance and strategic insight to various internal Pfizer stakeholders as to the impact of potential reimbursement issues.
All activity will be performed consistently with Pfizer’s mission and values and under the direction of their immediate supervisor – Director, Oncology Patient Access and Reimbursement.
This person must exhibit strong communication and relationship skills in order to be effective with a host of diverse customers.
Must conduct themselves with the utmost discretion and confidentiality.
Must adhere to strict company compliance guidelines and procedures.
Collaborate successfully with a diverse range of customers, clients, and stakeholders.
Demonstrate excellence in responsible business communication both written and spoken.
BASIC QUALIFICATIONS:
10+ years of pharmaceutical (or related) experience in customer-facing roles/functions
3+ years of Oncology access and reimbursement support experience.
Appropriate and compliant communication and collaboration with cross-functional field-based colleagues (Sales, Medical, FRM, PCA/SAS, Government Relations) to ensure optimal and appropriate patient access in both in-patient and out-patient accounts.
Alignment with HQ stakeholders to ensure appropriate understanding of, and support for, patient access (e.g., Oncology Patient Solutions and Advocacy, Brand and Customer Marketing teams, and PCA/SAS team).
Ensure development/execution of focused and strategic account plans for all assigned accounts, including effective facilitation of cross-functional field-based Account team (ALT/ACT).
Work with Oncology Patient Solutions team and enablement Director on new training and resources to support evolving patient access priorities/objectives.
Effectively and compliantly engage appropriate healthcare providers.
Complies with all Corporate Policies and Procedures, while conducting all job-related activities with integrity and adherence to Pfizer’s high standards of business conduct.
NON-STANDARD WORK SCHEDULE, TRAVEL OR ENVIRONMENT REQUIREMENTS:
Ability to travel 25-30% of the time.
Other Job Details:
Last date to apply is September 1, 2024
Work Location Assignment: Remote - Field Based
Relocation assistance may be available based on business needs and/or eligibility.
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.
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.
