The Rare Disease Field Access Specialist is a non-promotional, field-based commercial role that supports patient access to Rare Disease portfolio products. The FAS is a subject-matter expert on reimbursement, access, and coverage issues affecting our Rare Disease products. The FAS proactively engages with HCPs and their staff on Hub-enrolled cases around matters relating to reimbursement, access and coverage to assist patients with access to our Rare Disease products. The FAS will serve as the primary point of contact for HCP offices regarding the status of individual patients seeking access or reimbursement support through our respective product hubs. This individual will report directly to, the Access & Reimbursement Regional Director for the West Region. The Rare Disease Field Access Specialist will perform their duties while adhering to all Pfizer policies and compliance standards.

ROLE RESPONSIBILITIES

• Be the primary point-of-contact with HCPs/office staff for access-related communication relating to patients prescribed our products and/or enrolled in the product Hub, including helping to resolve reimbursement and coverage questions;

• Provide education to HCPs/office staff regarding local/regional payer landscape, payer coverage and formulary change updates, payer policies (e.g., prior authorization, step edits, specialty pharmacy coverage), Hub activities, and patient support and financial assistance offerings.

• Coordinate as appropriate with other Pfizer colleagues.

• Maintain a detailed understanding of the patient access journey within our distribution channels and requirements at each stage, keeping abreast of regional/provider changes in access requirements and inform any changes to appropriate internal stakeholders.

• Provide HCPs with information on how patients may apply to the Pfizer PAP, and direct to the product Hub for further information.

• Provide HCPs with information on how patients may enroll in Pfizer copay programs, and direct to the respective hub for further information.

• Understand defined distribution networks.

• Utilize approved systems and platforms to compliantly manage assigned cases.

• Work cross functionally with PAC and CENCORA Access Counselors to optimize the patient access journey.

• Understand Buy & Bill.

All activity will be performed consistently with Pfizer’s mission, values, and policies and under the direction of their immediate supervisor the Access & Reimbursement Regional Director.

This person must exhibit strong communication, organizational, and management skills in order to be effective with a host of diverse stakeholders.

• Must conduct themselves with the utmost discretion and confidentiality.

• Must adhere to strict company compliance guidelines and procedures.

• Effectively and compliantly 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 resources to address patient access barriers.

• Build trust through follow up and knowledge of the access journey.

• Demonstrate excellence in responsible business communication both written and spoken.

Knowledge & Skill Sets Desired

• Excellent communication skills, both written and verbal.

• Exceptional relationship building skills: Trust, Integrity, Empathy, Patience.

• Deliver meaningful & concise presentations.

• Outstanding collaboration and networking abilities.

• Exceptional attention to detail and organizational skills.

• Ability to work in a team environment.

• Rare Disease HCP Community.

• Government & Rare Disease Payment Systems.

• Adherence to Regulatory and Compliance Standards.

• Ability to travel – Approximately 70% with some weekends as appropriate to cover industry related events.

BASIC QUALIFICATIONS

• Bachelor's degree required. 

• Minimum 7-10 years pharmaceutical industry experience typically within the fields of pharmaceutical sales and/or coding and reimbursement.

• Valid US driver’s license and a driving record in compliance with company standards.

PREFERRED QUALIFICATIONS

• Minimum 3–5 years of medical billing or insurance claim management experience, preferably within the Pharmaceutical/ Biopharmaceutical sectors, Provider/Carrier Networks, or Government Agency. Reimbursement and Access experience is a must. Strong understanding of Rare Disease Reimbursement, Governmen