Rare Cardiac Access Care Manager San Diego, CA

Posted 2 Hours Ago
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Hiring Remotely in San Diego, CA, USA
In-Office or Remote
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
Field-based access leader managing consented patients through enrollment to therapy initiation and continuation. Provide reimbursement expertise, prior authorization and payer policy guidance, coordinate care across providers and payers, develop account-level access strategies, educate HCPs on access resources, and deliver market insights to internal stakeholders. Travel and territory-based role collaborating with commercial teams to optimize patient access.
Summary Generated by Built In

ROLE SUMMARY

As part of Pfizer Specialty Care, this individual will report to the Regional Director, Patient Access & Reimbursement. The Access Care Manager (ACM) serves as a field-based access 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.

ROLE RESPONSIBILITIES

Patient Journey Leadership & Case Management

  • 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.

Reimbursement Subject Matter Expertise

  • 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.

HCP Education & Training

  • 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.

Account-Level Strategy & System Optimization

  • 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.

Payer Interaction & Access Resolution

  • 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.

Internal Strategic Influence & Market Insights

  • 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.

  • High degree of Business Acumen and deep understanding of market dynamics and drivers in the Access space and accounts.

Cross-Functional & Commercial Alignment

  • 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.

BASIC QUALIFICATIONS

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.

  • 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. This individual must also have 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.

NON-STANDARD WORK SCHEDULE, TRAVEL OR ENVIRONMENT REQUIREMENTS

Operate a Pfizer company car and regularly travel by air to attend external meetings and meetings or conferences. Travel to HCP offices as needed.  Travel is expected to be approximately 30% of the time with overnight travel required. Must live within the geography, or within 25 miles or closer to territory boundaries.

OTHER JOB DETAILS

Last day to apply: August 2, 2026

Territory CA - lives in Southern California

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. This role is posted in multiple locations. If you are applying for the role in an secondary job posting location where pay transparency regulations apply, your Talent Advisor will share the local pay information with you during the first interview.

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

  • 8+ years of pharmaceutical or related customer-facing experience (9 years with Masters, BSN, or RPh)
  • 1+ years in an Access and Reimbursement support role
  • Minimum 3-5 years of Specialty Pharma experience (Provider/Carrier Networks or Government Agency experience preferred)
  • Reimbursement and Access experience (including prior authorization, coding, step edits, payer-specific requirements)
  • Experience in the Cardiology sector
  • Strong understanding of reimbursement, government payment systems, provider/carrier networks, and co-pay assistance programs
  • Exceptional communication and presentation skills and demonstrated success in strategic planning and implementation
  • Demonstrated leadership ability to influence, collaborate, develop and coach others across functions
  • Ability to work in a highly regulated environment and adhere to company compliance guidelines
  • Valid U.S. driver's license and driving record meeting company standards (no DUI/DWI or impaired driving citation within past 7 years)
  • Operate a company car and travel approximately 30% with overnight travel required
  • Must live within the geography or within 25 miles of territory boundaries (Southern California territory)
  • Training and experience in responsible business communication (written and spoken)
  • Authorized to be employed in the U.S.; permanent work authorization required (no visa sponsorship available)

What the Team is Saying

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Pfizer Compensation & Benefits Highlights

  • Healthcare Strength Multiple U.S. medical plan options include telehealth, comprehensive mental‑health support, fertility/family‑building benefits, transgender‑inclusive coverage, and certain Pfizer medications at no cost. A Wellbeing Wallet and wellness resources broaden the health and wellbeing offering.
  • Retirement Support A 401(k) with company matching is paired with an additional Pfizer Retirement Savings Contribution, alongside company‑paid life and disability insurance. One‑on‑one financial planning support is provided through Fidelity.
  • Leave & Time Off Breadth Paid time off spans vacation, holidays, and personal days, with additional caregiver and medical leave. U.S. parental leave commonly includes 12 weeks paid with options for additional unpaid bonding time and a return‑to‑work transition.

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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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