Access Care Manager - Puerto Rico

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About the role

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. •  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 • 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 Reimbursem

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