Field Reimbursement Manager I & I San Diego

Pfizer; Sacramento (CA); On-site; USD 139,000 - 232,000; Full time

Benefits offered by this job

401(k) plan with Pfizer Matching

Relocation assistance may be available

Comprehensive health benefits

Job summary

Pfizer is seeking a Field Reimbursement Manager for the North America region to drive access and reimbursement for Pfizer products. You will educate HCPs and staff on payer policies, resolve coverage questions, and coordinate with HUB programs to optimize patient access.

You will lead efforts with internal stakeholders, ensure compliant communications, and travel up to 50% to engage live with customers across assigned territories.

Qualifications

• 7+ years pharmaceutical industry experience in sales and/or coding and reimbursement.
• Reimbursement and Access experience is a plus.
• Strong understanding of Specialty Drug Reimbursement and policy dynamics across Pfizer units.
• Leadership and collaboration across internal boundaries.

Responsibilities

• Conduct office calls with HCPs and staff to enable patient access to Pfizer products.
• Provide in-person and virtual education for HCPs on payer landscape and coverage changes.
• Distribute Pfizer materials related to coverage and reimbursement.
• Coordinate with HUB programs to understand payer requirements for patients.
• Address questions about prescription status for patients in Pfizer programs.
• Use Pfizer's case notes system compliantly.

Skills

Communication skills

Presentation skills

Relationship management

Strategic planning

Leadership across boundaries

Regulatory compliance awareness

Education

Bachelor's degree (BS/BA)

Coding and reimbursement certification (preferred)

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:

• 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.
• 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.
• 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.
• Provide education for HCPs/office staff regarding Hub financial assistance offerings, enrollment process, Hub HCP portal(s), and other Hub financial assistance brochures.
• Coordinate with Pfizer patient access and support programs (HUB) as needed to understand payer requirements for individual patients
• Address questions about the prescription status of patients enrolled in Pfizer patient access and support programs
• 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. The Field Reimbursement Manager will also provide, as needed, interpretive information and local market insights to relevant internal Pfizer leadership as to the impact of potential reimbursement issues.This person must exhibit strong communication, organizational, and relationship skills 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.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 in both written and spoken communications.

QUALIFICATIONS

• Minimum 7+ years pharmaceutical industry experience typically within the fields of pharmaceutical 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 knowledge of the policy dynamics that exist across the various Pfizer Business Units/Brands.
• B.S. or B.A. degree is required.
• Experience demonstrating exceptional communication and presentation skills, strategic planning, and successful plan implementation.
• This individual must also have demonstrated leadership and success at working across internal boundaries and be able to collaborate with multiple relevant 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 licence and a driving record in compliance with company standardsCandidate 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.
• Must reside in territory boundaries.
• Travel requirement: 50% for live customer interactionsAs needed based on geography size & customer needs. FRMs spend ~50% of their time conducting live customer interactions.
• Preferred Qualifications:Additional certification in coding and reimbursement is preferred but not required.
• Coding and billing knowledge or certification a plus but not required.

Additional Detail s

Territory Includes but not limited to: San Diego, Corona, Chula Vista, Carlsbad, San Bernardino, Rancho Cucamonga, Encinitas, Moreno Valley, La JollaLast day to apply: 10/13/26

Candidate 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 colleaguesto achieve meaningful outcomes and create business impact.

The annual base salary for this position ranges from $139,100.00 to $231,900.00. In addition, this position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of the base salary and eligibility to participate in our share based long term incentive program.

We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments.

• Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage.

Relocation assistance may be available based on business needs and/or eligibility.

Candidates must be authorized to be employed in the U.S. by any employer.

U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future.

Sunshine ActPfizer 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.

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