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Senior Director, TL, Strategic Accounts, Reimbursement and Patient Access

Pfizer


Location:
New York, NY
Date:
10/27/2017
2017-10-272017-11-25
Job Code:
1617817
Pfizer
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Job Details

Job Title Senior Director, TL, Strategic Accounts, Reimbursement and Patient Access

JobID 1617817

Location: New York, NY

Description Rare Disease North America, conceived as part of the category leadership construct, is a newly structured organization that generates nearly $1B annual in revenues. The focus of the group is to transform thousands of patients and families lives by working together collaboratively to create innovative programs that serve the patient community. This newly formed category has been developed to maximize the existing in-line portfolio in hemophilia, gauche disease, TTR-FAP, acromegaly and other endocrine disorders while positioning Pfizer as a rare disease category leader with an exciting and promising pipeline, including gene therapy platform, sickle cell disease, and Duchenne muscular dystrophy.



Pfizer works alongside the rare disease community with an unmatched passion for delivering life-changing medicines through scientific innovation. Embedded in our culture are three key principles:

1. Every Patient Counts

2. Every Colleague Counts

3. Every Decision Counts.



We cultivate a mindset built on collaboration, accountability and integrity. Questioning the status quo in order to further help patients is not only encouraged, but expected. The Pfizer Rare Disease team has the aspiration to be the premier rare disease organization by bringing global reach, resources and expertise of the world's largest biopharmaceutical company to make a difference for rare disease patients and their families.



This role leads all aspects of provider network strategy, contracting, relations and operations to support network development, provider services and while ensuring that rare disease patients and their families receive the best possible support to access to Pfizer Rare Disease products in the most streamlined and unencumbered manner. In order to achieve this vision, the role has two critical responsibilities;



**Payer & Contracting Strategies**

The Sr. Director TL, is responsible for the development and execution of product/portfolio strategies to ensure that Pfizer products are adequately reimbursed by payers (commercial and government) to any purchasing entity. By working closely with the PHI and the PCA groups, the Sr. Director will develop contracting strategies at the GPO and group practice level for all Rare Disease brands. Develops contracting strategies at the payer level in conjunction with Marketing for inline rare disease brands as well as leads development of payer and patient strategies for the future portfolio including, Rivipansel, Tafamidis (CM) as well as the gene therapy assets.



**Patient Services**

The leader will design strategies to ensure product access to patients including developing the consolidated patient assistance program, co-pay support program, and any other patient support program conducted via the reimbursement support center (call center).



The director of patient advocacy liasons (PALs) who manages a team of colleagues that is tasked to support rare disease patients across rare disease portfolio as well as the field reimbursement field managers whose job is to address reimbursement issues of key accounts will also report into the Team Leader



**Responsibilities:**



+ Responsible for overall strategy development, direction, objectives, measurement and accountability of brand reimbursement strategies and tactics for Pfizer Rare Disease

+ The SR. DIRECTOR, TL will manage all day-to-day reimbursement related field operations for the U.S. market for Rare Disease/Medical Benefit products in development and marketed

+ The SR. DIRECTOR, TL will ensure launch readiness of all Rare Disease products

+ The SR. DIRECTOR, TL will develop reimbursement support strategies which may be out-sourced or in-house including determining the level of support required for each brand, defining the co-pay assistance program and the free goods program for persons unable to afford the medications as allowable under OIG policies

+ This role will analyze the Rare Disease market in terms of coverage and reimbursement issues impacting brands, existing and emerging payer policies, formulary listings, competitive landscape, trends, pricing, contracting strategies, and potential barriers to provider and patient access. Monitor the evolution of payer policies at a macro level in the US that could impact the portfolio, monitor payer reimbursement decisions and FDA policies for recently approved products

+ The SR. DIRECTOR, TL will work cross-functionally in identifying health economics data required to support the creation of a product value proposition that will be compelling to a variety of stakeholders, i.e., commercial payers, government payers and regulators, emerging players in the risk-bearing provider space. The SR. DIRECTOR, TL will also work with partners in marketing to develop key value messages for the target audience segment (GPO, cancer center administrators, etc.) that are aligned with the overall brand messaging platform and supported by compelling evidence for products

+ The SR. DIRECTOR, TL will contribute to business objectives as a member of the NA Rare Disease Leadership Team

+ The SR. DIRECTOR, TL will work cross functionally to foster the development of market access capabilities by educating key stakeholders and aligning with Global PCA on the US reimbursement strategy and ensure plans are aligned with the global market access strategy

+ Work closely with Government Affairs team in order to understand the legislative/policy (current and future) impact on current and future products

+ Work with leaders of Business Development to give appropriate guidance on reimbursement issues (if any) for business development projects

+ Ensure strong and effective business relationships with SR. DIRECTOR, TL Brand Marketing, SR. DIRECTOR, TL Business Development, and Clinical Development Units

+ Develop brand and non-brand strategies for account management teams under his/her sphere of responsibility.

+ Lead Rare Disease/ Access/reimbursement (and distribution) launch planning sub-teams as required

+ Responsible for the budget of the Rare Disease strategy and execution department, including external expenses and fees. Monitor expenses on a monthly basis

+ Responsible for the general management of a team, including development of job descriptions, objective setting for each employee, performance appraisals of each employee, coaching and corrective actions when required

+ Responsible for the implementation and execution of all Company policies

+ Collaborate closely with the PHI organization to develop and implement innovative and disrupting network designs, contracts, and services that change the current paradigm, foster direct collaboration between providers and plan sponsors, streamline administration and reduce costs for all constituents.

+ Collaborate with all functions within the company to develop services and processes that streamline claim adjudication, achieve a high level of compliance and customer satisfaction.

+ Lead the development of provider network business plans, strategies, and goals.

+ Develop and manage provider contracting efforts and partnerships to achieve quality, cost management, and strategic business development objectives.

+ Collaborate with third-party administrators (TPAs) and client senior management to identify and align provider contracting efforts with the goals and objectives of the plans and sponsors.

+ Monitor new trends in provider network, contracting, reimbursement and services. Design and implement strategies to capitalize on new trends.

+ Enhance and leverage ELAP's analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities and target service providers for direct contracts.

+ Maintain local and state government relationships, including dealing with regulators as necessary to establish and continue effective working relationships.

+ Attract, recruit and retain the talent key members to the team Provide mentoring and foster a success-oriented and accountable culture



**Qualifications:**



+ Minimum of 15 years' experience in executive commercial roles at a Healthcare provider and/or payer access

+ A Bachelor's Degree is required, Master's Degree preferred

+ At least 5 years of experience focused specifically on developing provider networks, building partnerships, contracting and negotiations

+ Highly developed knowledge of US healthcare industry, provider network, and health plan operations

+ Ability to successfully interact with senior executives of clients as well as providers and other healthcare executives nationwide. Proven leadership skills in line with Senior Pfizer Leadership Values

+ Experience establishing strategic vision, setting expectations and marshaling resources to deliver results

+ Excellent communication, organizational and project management skills

+ Ability to prioritize and execute multiple complex projects in various markets simultaneously

+ Understanding and appreciation of legal and regulatory environment relative to Provider Relations

+ Must be familiar with medical contracting methodologies, claims pricing and reimbursement strategies

+ Must be able to handle complex contract negotiations

+ Must possess strong analytical and problem-solving skills



**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.



**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.



+ **Date to Apply for Job: October 30, 2018**

+ **This job is Pfizer Exempt US Grade: 18**

+ **Eligible for Employee Referral Bonus**



Pfizer is an equal opportunity employer and complies with all applicable equal employment opportunity legislation in each jurisdiction in which it operates.


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