Field Reimbursement Manager I & I San Diego

Posted An Hour Ago
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San Diego, CA, USA
In-Office
139K-232K Annually
Senior level
Artificial Intelligence • Healthtech • Machine Learning • Natural Language Processing • Biotech • Pharmaceutical
We’re in relentless pursuit of breakthroughs that change patients’ lives.
The Role
Provides pharmaceutical reimbursement and coverage expertise to healthcare providers and office staff, helping resolve access barriers for Pfizer products. Educates stakeholders on payer policies, patient assistance programs, coding, billing, and Hub resources; coordinates with patient support programs; addresses prescription status questions; and shares market insights with internal leadership. The role requires extensive stakeholder collaboration, regulatory compliance, communication skills, a valid driver’s license, residence within the territory, and approximately 50% travel.
Summary Generated by Built In
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 license and a driving record in compliance with company standards
  • 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 colleagues to achieve meaningful outcomes and create business impact.
  • Must reside in territory boundaries
  • Travel requirement: 50% for live customer interactions
  • As 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 Details:
  • Territory Includes but not limited to: San Diego, Corona, Chula Vista, Carlsbad, San Bernardino, Rancho Cucamonga, Encinitas, Moreno Valley, La Jolla
  • Last day to apply: 10/14/26

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 colleagues
to 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. Learn more at Pfizer Candidate Site - U.S. Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States.
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 Act
Pfizer 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.
Pfizer endeavors to make www.pfizer.com/careers accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process and/or interviewing, please email [email protected] . This is to be used solely for accommodation requests with respect to the accessibility of our website, online application process and/or interviewing. Requests for any other reason will not be returned.
To learn more about acceptable and prohibited uses of AI during the recruitment process, please review our candidate AI-use guidelines available on Pfizer Careers .
Sales Operations & Admin

Skills Required

  • Minimum 7+ years of pharmaceutical industry experience, typically in pharmaceutical sales and/or coding and reimbursement
  • Bachelor’s degree in any field (B.S. or B.A.)
  • Strong understanding of specialty drug reimbursement, government payment systems, provider/carrier networks, and copay assistance programs
  • Exceptional communication and presentation skills
  • Strategic planning and successful plan implementation experience
  • Experience collaborating across internal boundaries and with diverse stakeholders
  • Ability to work in a highly regulated environment and follow strict compliance guidelines
  • Training and experience in responsible written and spoken business communication
  • Valid U.S. driver’s license and driving record meeting company standards
  • Residence within the assigned territory boundaries
  • Permanent U.S. work authorization without visa sponsorship
  • Additional certification in coding and reimbursement
  • Coding and billing knowledge or certification

What the Team is Saying

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Pfizer Compensation & Benefits Highlights

  • Healthcare Strength — Health coverage is described as comprehensive across medical, dental, vision, and mental‑health support, with strong plan options and provider networks. Feedback suggests these programs are a clear standout within the total rewards package.
  • Retirement Support — Retirement programs feature a 401(k) with company matching plus an additional company retirement contribution. Feedback suggests these elements are consistently highlighted as valuable components of overall compensation.
  • Leave & Time Off Breadth — Paid vacation, holidays, and sick time are often characterized as generous, with some locations offering the ability to purchase additional vacation days. Feedback suggests this breadth contributes meaningfully to work‑life balance.

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The Company
HQ: New York, NY
121,990 Employees
Year Founded: 1848

What We Do

Our purpose ensures that patients remain at the center of all we do. We live our purpose by sourcing the best science in the world; partnering with others in the healthcare system to improve access to our medicines; using digital technologies to enhance our drug discovery and development, as well as patient outcomes; and leading the conversation to advocate for pro-innovation/pro-patient policies.

Why Work With Us

We are the inventors, the problem solvers, the big thinkers — those who surmount any hurdle to deliver breakthrough medicines to the people who are counting on them the most.

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