MGT Patient Access Coordinator - East

Pfizer • Uniondale, NY

1d

About The Position

As the Patient Access Coordinator for Pfizer Primary Care, you will play a critical role in supporting patients’ access to products offered under the Pfizer Primary Care division. Reporting to the Patient Access Director, you will serve as a subject-matter expert in coverage, access, and reimbursement, ensuring patients and healthcare providers receive timely and accurate support throughout the patient’s access journey.

Requirements

• Bachelor's degree in a science or health-related field
• Minimum 7-10 years of total experience in the healthcare field, including at least 7 years in care coordination/case management/reimbursement or relevant experience.
• Experience working with a Field Reimbursement Manager/Patient Coordinator/Nurse Coordinator/Patient Navigator
• Prior experience working with a HUB
• Expertise in reimbursement activities, BI/BV, Prior Authorization, and Appeals Assistance
• Travel 5-10%

Nice To Haves

• Live in the time zone of the assigned geography
• Broad therapeutic area knowledge in primary care and specialty accounts
• Prior experience working in a specialty pharmacy or with payers
• Strong organization
• Excellent written and verbal communication skills.
• Strong relationship-building skills, especially with elderly populations.
• Demonstrated trust, integrity, empathy, and patience.
• Ability to deliver concise and impactful presentations.
• High attention to detail and organizational skills.
• Exceptional critical thinking and ability to explain complex processes.
• Understanding of specialty pharmaceuticals and patient journeys.
• Adherence to regulatory and compliance standards.
• Minimum 2-3 years of medical billing or insurance claim management experience, preferably in the Pharmaceutical/Biopharmaceutical sectors
• Strong collaboration and networking capabilities.
• Team-oriented mindset.
• Understanding of specialty pharmaceuticals and patient journeys.
• Adherence to regulatory and compliance standards.

Responsibilities

• Coordinate Patient Access: The primary responsibility of the Patient Access Coordinator is to oversee and manage the process of patients gaining access to necessary treatments and resources under Pfizer Primary Care This includes coordinating with healthcare providers, HUB, pharmacies, and other stakeholders to ensure patients have access to the medications and services they need
• Educating Patients: Will be responsible for educating patients on the resources and support available to them, as well as providing information on insurance coverage and financial assistance options This may involve conducting patient welcome calls and providing guidance and education on navigating the healthcare system
• Educate Providers Patients on the Prior Authorization Process and Utilization Management Criteria Explain the prior authorization, medical exception, and appeals process. Help providers and patients navigate and understand payer policy criteria.
• Maintain Documentation: It is essential for the Patient Access Coordinator to maintain accurate and up-to-date patient records and documentation related to access to treatments and services in approved CRM This includes managing patient files, insurance information, and any other documentation required for access to medications and resources
• Collaborate with Healthcare Providers: Work closely with healthcare providers to ensure that patients receive the appropriate treatments and services This may involve communicating with physicians, nurses, and other healthcare professionals to gather necessary information and coordinate care plans
• Educate on Access Programs: Will be responsible for educating patients on Pfizer patient access programs and identifying any issues or barriers that may prevent patients from receiving necessary treatments This may involve conducting research, analyzing data, and making recommendations for improvements to the access process
• Provide Support to Patients: Will act as a point of contact for patients, providing support and assistance throughout the access process This may include answering questions, addressing concerns, and providing emotional support to patients and their families
• Collaborate with Field Access Leads and HUB Point of Contact: Will work closely with field access leads and HUB Point of Contacts to coordinate follow-up and required actions to ensure access to treatments and services This will involve leading access connect calls to gather and review necessary information and coordinate care plans
• Stay Informed on Industry Changes: It is crucial for the Patient Access Coordinator to stay informed on changes in the healthcare industry, including new treatments, insurance policies, and regulations This will ensure that patients receive the most up-to-date information and access to the best possible care
• Maintain Confidentiality: The Patient Access Coordinator will be responsible for handling sensitive patient information
• Provide education and support against performance standards with a focus on a positive patient/provider experience
• Collaborate with internal and external functions to execute logistical and transactional activities related to patient access and order/prescription management
• Coordinate with Pfizer colleagues and Patient Support Program/Hub staff to resolve patient access issues.
• Build trust through consistent follow-up and deep knowledge of access pathways.
• Communicate effectively to influence stakeholders without direct authority.
• Link customer insights into approved offerings to address access barriers.
• Participate in monitoring and quality improvement initiatives and training
• Adhere to required business rules, work instructions, and SOPs
• Recommend process and efficiency improvements to enhance workflow and service levels
• Manage engagements using various technology platforms and CRM systems such as POLARIS

Benefits

• 401(k) plan with Pfizer Matching Contributions and additional Pfizer Retirement Savings Contribution
• Paid vacation, holidays, and personal days
• Paid caregiver/parental and medical leave
• Health benefits including medical, prescription drug, dental, and vision coverage

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level