Field Reimbursement Manager Chicago South

Pfizer; South Bend (IN); Remote; USD 135,000 - 226,000; Full time

Job summary

A leading company is seeking a Field Reimbursement Colleague to support patient access to their products. This role involves conducting office calls, providing education to healthcare professionals, and resolving reimbursement issues. The ideal candidate will have extensive pharmaceutical experience and strong communication skills, working remotely within the designated territory. The position offers a competitive salary and benefits, including 401(k) matching and health coverage.

Benefits

401(k) with Pfizer matching

Paid time off

Health coverage

Relocation assistance

Qualifications

• Minimum 7+ years pharmaceutical industry experience, typically in sales and/or coding and reimbursement.
• Strong understanding of Specialty Drug Reimbursement and Government Payment Systems.

Responsibilities

• Conduct office calls with HCPs to enable patient access to Pfizer products.
• Provide education regarding payer coverage and formulary changes.
• Assist HCP offices with coding and claims-related issues.

Skills

Communication

Organizational Skills

Relationship Skills

Education

B.S. or B.A. degree

Job description

Job Description

As part of Pfizer North America, this individual will report directly to the I&I Access & Reimbursement Regional Director. The Field Reimbursement Colleague will perform their duties under the strategic vision of the Pfizer Business Units’ overarching access and reimbursement plan and compliance standards.

It will be this person’s role and responsibility to:

1. Conduct office calls with HCPs and office staff that have a need for support to enable appropriate patient access to Pfizer products, including assistance in resolving reimbursement and coverage questions.
2. Provide in-person and virtual education for 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) and patient support.
3. Distribute Pfizer RC-approved materials to HCPs/office staff relating to coverage and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides.
4. Provide education for HCPs/office staff regarding Hub financial assistance offerings, enrollment process, Hub HCP portal(s), and other Hub financial assistance brochures.
5. Reactively assist HCP offices with coding and claims-related issues by contacting payers to understand policy or procedures and to provide information on payer requirements.
6. Compliantly use Pfizer’s designated case notes system.

The Field Reimbursement Manager is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions and to use that expertise to facilitate appropriate patient access to a prescribed Pfizer product. They will also provide interpretive information and local market insights to Pfizer leadership regarding reimbursement issues.

This person must exhibit strong communication, organizational, and relationship skills to be effective with diverse customers.

• Must conduct themselves with utmost discretion and confidentiality.
• Must adhere to strict company compliance guidelines and procedures.
• Communicate effectively and compliantly with stakeholders, adopting ideas, actions, or positions through logical and engaging messages without direct authority.
• Link customer insights to 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.

Qualifications:

• Minimum 7+ years pharmaceutical industry experience, typically in sales and/or coding and reimbursement.
• Reimbursement and Access experience is a plus. Strong understanding of Specialty Drug Reimbursement, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and policy dynamics across Pfizer Business Units/Brands.
• B.S. or B.A. degree required.
• Exceptional communication and presentation skills, strategic planning, and successful implementation experience. Proven leadership and cross-functional collaboration skills.
• Experience in a highly regulated environment, adhering to compliance guidelines. Broad collaboration with diverse stakeholders. Responsible business communication expertise.
• Valid US driver’s license and a compliant driving record.
• Demonstrated leadership capabilities, including influencing, coaching, and guiding colleagues to achieve outcomes.
• Must reside within territory boundaries.
• Travel requirement: 50% for live customer interactions.

Preferred Qualifications:

• Additional certification in coding and reimbursement is preferred but not required.
• Coding and billing knowledge or certification is a plus but not required.

Other Job Details:

• Application deadline: May 30, 2025.
• Territory includes Chicago South and Northern Indiana.
• Work Location: Remote – IL or IN.

The annual base salary ranges from $135,100 to $225,100, with eligibility for bonuses and long-term incentives. Benefits include 401(k) with Pfizer matching, paid time off, health coverage, and more. Relocation assistance may be available.

Additional Information:

Pfizer complies with Sunshine Act reporting requirements and is an equal opportunity employer, committed to diversity and inclusion. This position requires work authorization in the US.