Oncology Field Reimbursement Director (Patient Access Navigator) Southeast

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