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About the Role

The Access Care Manager (ACM) is a field-based leader responsible for integrating patient journey ownership, reimbursement expertise, and account-level strategy to ensure appropriate patient access. This role combines high-touch patient engagement with advanced subject matter expertise in reimbursement, payer policy, and coverage strategy, acting as a trusted partner to healthcare providers and internal stakeholders.

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, including hub services, enrollment processes, and financial assistance programs to improve access efficiency.
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.
Facilitate communication between HCP offices, payers, and patient support programs to ensure efficient navigation of the reimbursement process.
Provide actionable insights on payer trends, reimbursement challenges, and access barriers to internal stakeholders.
Support development of cross-functional strategies by translating field insights into recommendations.
Collaborate with Sales, Key Account Managers, Marketing, and Patient Solutions teams to ensure aligned execution of access strategies.
Participate in account planning and contribute to coordinated, patient-centric approaches to access.

Requirements

Demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
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.
Experience demonstrating exceptional communication and presentation skills, strategic planning and success in implementation of plans.
Demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple stakeholders to coordinate various unique objectives.
Demonstrated ability to work in a highly regulated environment and adhere to strict company compliance guidelines and procedures.
Proven track record of collaborating broadly with a diverse range of customers, clients, and stakeholders.
Training in and experience in responsible business communication both written and spoken.
Valid US driver’s license and driving record in compliance with company standards.
Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired.
Must live within the geography, or within 25 miles or closer to territory boundaries.
Candidates must be authorized to be employed in the U.S. by any employer.
U.S. work visa sponsorship is not available for this role now or in the future.

Skills

Access and Reimbursement support
Specialty Pharma experience
Reimbursement
Government Payment Systems
Provider/Carrier Networks
Co-Pay Assistance Programs
Rare Disease Community policy dynamics
Communication skills
Presentation skills
Strategic planning
Business Acumen
Market dynamics
Cross-functional collaboration
Compliance guidelines
Business communication (written and spoken)

Location

CA - lives in Central or Northern California

Work Type

Field-based
Full-time

Experience Level

8+ years of pharmaceutical (or related) experience
9+ years with Masters, BSN or Rph
1+ years in Access and Reimbursement support role
3-5 years of Specialty Pharma experience

Education Level

Masters
BSN
Rph

Salary/Compensations

$139,100.00 - $231,900.00
Bonus target of 17.5% of the base salary
Eligibility to participate in share based long term incentive program

Benefits

401(k) plan with Pfizer Matching Contributions
Additional Pfizer Retirement Savings Contribution
Paid vacation
Paid holiday and personal days
Paid caregiver/parental and medical leave
Health benefits to include medical, prescription drug, dental and vision coverage

About the Company

Pfizer Specialty Care
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.
Pfizer endeavors to make www.pfizer.com/careers accessible to all users.

Equal Opportunity

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.