I & I Access and Reimbursement Regional Director, Central

The Regional Director, I & I is the direct manager and strategic field leader for a regional team of Field Reimbursement Managers  supporting Pfizer’s I & I portfolio. FRMs report directly to this role and operate under its strategic direction, day-to-day guidance, compliance oversight, and performance management. The Regional Director leads a team of field-based access leaders who integrate patient journey ownership, reimbursement subject matter expertise, payer-policy navigation, HCP office education, and account-level access strategy to remove barriers and improve appropriate patient access.

 

The Regional Director is accountable for the full patient access experience delivered by the team — from patient enrollment and needs assessment through therapy initiation, continuation, case resolution, and HCP office engagement. This leader sets the strategic vision and operational standards for the FRM team in alignment with the Pfizer Specialty Care Patient Solutions Access and Reimbursement plan, brand priorities, and compliance requirements. The Regional Director ensures FRMs operate in close coordination with Field Sales, Key Account Directors, hub partners, Patient Solutions, Market Access, Brand, Legal/Compliance, and other cross-functional stakeholders — bringing field credibility, coaching expertise, reimbursement depth, and a patient-first mindset to every element of the role.

 

Key Responsibilities

 

Direct Management of Field Reimbursement Managers

• Serve as the direct supervisor for all regional FRMs — FRMs report directly to this role and operate under its day-to-day direction, compliance oversight, and strategic guidance
• Direct and oversee FRM execution as field-based access leaders, including patient needs assessments, reimbursement navigation, HCP office education, payer-policy clarification, account workflow optimization, and hub enrollment support
• Set and enforce performance expectations aligned to national KPIs, including enrollment completion, timely therapy initiation, continuation of therapy, case resolution timelines, access barrier removal, compliant outreach activity, and account-level impact
• Conduct regular field rides, call coaching, performance reviews, and individual development conversations
• Lead hiring, onboarding, and performance management for the regional FRM team in partnership with HR and the National Lead
• Ensure all FRM activity is conducted consistently with Pfizer's mission, compliance standards, and approved role scope
• Manage regional budget, including headcount planning, travel spend, and program resources in alignment with national guidelines

 

Patient Access & Enrollment

• Coach and hold FRMs accountable for end-to-end patient journey leadership, including proactive needs assessment, barrier identification, timely escalation, continuity across enrollment, therapy initiation, and continuation, and appropriate coordination with HCP offices, caregivers, sites of care, and support programs
• Monitor and address friction points in the patient access journey, including prior authorization delays, step edits, coding or documentation gaps, affordability concerns, coverage gaps, specialty pharmacy fulfillment issues, and enrollment abandonment
• Serve as an escalation resource for complex patient access cases within the region, ensuring barriers are addressed through approved pathways and appropriate cross-functional coordination
• Champion the approved consent enrollment model and support continuous improvement in enrollment efficiency
• Ensure FRMs consistently apply a patient-first, non-clinical support model that improves the patient and provider experience while remaining within approved role scope

 

Reimbursement Expertise, Payer Policy & Access Resolution

• Build and sustain team-level reimbursement expertise across regional payer landscape, coverage pathways, prior authorization, step edits, appeals, coding, claims processes, medical and pharmacy benefits, and payer-specific access requirements
• Identify payer policy trends, coverage gaps, formulary changes, documentation requirements, and reimbursement challenges impacting patient access; communicate insights proactively to internal stakeholders
• Provide oversight and escalation support for appropriate payer-related access resolution activities, ensuring FRMs operate within approved role scope while helping clarify coverage policies and coordinate efficient reimbursement navigation
• Partner with market access, trade, and HEOR teams to align field execution with national account strategies
• Translate complex payer and reimbursement policy into clear, compliant coaching guidance for FRMs and actionable education for HCP office staff

 

Provider Education, Account Strategy & System Optimization

• Establish standards for compliant HCP and office staff education, ensuring FRMs deliver accurate, approved, and actionable guidance on reimbursement processes, coverage pathways, Hub services, enrollment workflows, financial assistance resources, and patient access resources
• Lead regional account-level access strategy by guiding FRMs in identifying systemic workflow barriers within provider offices, developing scalable solutions, and improving access efficiency across high-priority accounts, large group practices, IDNs, and academic medical centers
• Serve as a strategic reimbursement and access subject matter expert for complex accounts, high-volume INI practices, and cross-functional partners seeking field-informed access insights
• Coach FRMs to participate appropriately in account planning and contribute to coordinated, patient-centric approaches that address practice-level access barriers and reduce delays in therapy initiation

 

Cross-Functional Coordination

• Serve as the regional access leadership point of coordination across Brand, National Access & Reimbursement leadership, Field Sales, Key Account Directors, Patient Solutions, Hub partners, Legal/Compliance, Market Access, and other cross-functional stakeholders to ensure FRM execution is aligned, compliant, and patient-centered
• Maintain strong relationships with Brand, Regional Business Directors, Key Account Directors, Patient Solutions, Market Access, and other cross-functional partners to support coordinated access strategy and clear ways of working
• Partner with brand, market access, patient solutions, hub operations, and field leadership to identify systemic barriers, align resources, and surface field insights that inform strategy and execution
• Coordinate with compliance and legal as needed to ensure all FRM activities are conducted within approved guidelines
• Lead a Patients First strategy with leadership and cross-functional partners to create a well-coordinated access model that supports timely, seamless, and compliant patient and provider experiences
• Champion Ways of Working within the organization

 

Reporting, Insights & Strategic Influence

• Track, interpret, and report regional performance metrics on a regular cadence to the National Lead, connecting activity measures to patient access outcomes, account impact, and operational priorities
• Aggregate regional FRM insights on payer trends, reimbursement challenges, HCP workflow barriers, account dynamics, and access delays; translate those insights into actionable recommendations for National Access & Reimbursement leadership and cross-functional partners
• Ensure accurate and timely documentation of patient interactions and case activity within approved platforms
• Use field data, team observations, and market access intelligence to guide coaching priorities, account engagement strategy, escalation pathways, and continuous improvement opportunities

 

Qualifications

 

Required

• Bachelor's degree required; advanced degree (MBA, MPH, PharmD) preferred
• Minimum 10 years of experience in pharmaceutical field operations, patient services, reimbursement, or access/hub management
• Minimum 3–5+ years of people management experience leading, coaching, or developing field-based access, reimbursement, patient services, hub-facing, or customer-facing teams
• Direct experience with specialty pharmacy, hub programs, or patient support services in a regulated environment
• Strong working knowledge of the access and reimbursement landscape, including benefits investigation, prior authorization, step edits, appeals, payer policy, coverage pathways, specialty pharmacy fulfillment, and insurance coverage processes
• Working knowledge of medical and pharmacy billing including CPT, HCPCS/J-codes, ICD-10, NDC, Medicare Part B buy-and-bill, specialty pharmacy processes, and payer-specific coverage criteria relevant to INI/specialty products
• Proven ability to build reimbursement subject matter expertise across a team and translate payer policy, patient access data, and field insights into regional action plans
• Demonstrated ability to lead through influence across cross-functional teams
• Demonstrated ability to manage a large geographic territory and travel 50–60% of the time.
• 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.

 

Preferred

• Experience in I & I, or rare disease therapeutic areas
• Familiarity with Pfizer hub infrastructure (e.g., PDPA or equivalent specialty pharmacy program)
• Prior experience leading Access and Reimbursement, patient access, hub operations, field reimbursement, or hybrid patient/HCP access support roles
• Track record of improving enrollment metrics or time-to-therapy outcomes
• Existing relationships with regional payer medical directors, pharmacy directors, or key account decision-makers
• Experience with product launches in the access and reimbursement space
• Experience leading through ambiguity in highly regulated, cross-functional environments while maintaining clear compliance boundaries and role clarity
• Lives within Region

 

Core Competencies

• Patient-first orientation — decisions anchored to patient impact, not process convenience
• Field leadership — credibility with FRMs, HCP office stakeholders, internal teams, and external partners; earns trust through presence, coaching, judgment, and follow-through
• Operational discipline — ability to manage complexity across a regional footprint with rigor and consistency
• Cross-functional influence — connects effectively across Sales, Key Account Directors, Brand, Patient Solutions, Hub partners, Market Access, Legal/Compliance, and leadership stakeholders
• Coaching & development — invests in team growth and creates a culture of accountability and continuous improvement
• Analytical thinking — uses data, field insights, payer trends, and account dynamics to identify priorities, guide coaching, and drive strategic decisions
• Executive presence — credibility with practice administrators, IDN leadership, and C-suite contacts in key accounts
• Payer policy translation — ability to translate complex payer and reimbursement policy into clear, actionable guidance for HCP office staff and PAM team members
• Strategic vision — ability to align patient needs, brand priorities, market access dynamics, and account workflows in a way that maximizes the account’s ability to help appropriate patients access therapy

 

Working Conditions

• Field-based role with 50–60% travel within assigned region
• Must reside near airport with ability to travel within Region and live within Region
• Occasional national travel required for team meetings, training, and cross-functional engagements

Additional Details

Last Day to Apply 10/13/26

Territory Includes but not limited to IL, TN, NC, IA, GA, OH, MN

 

Compliance & Legal

All activities performed in this role must be conducted in accordance with Pfizer's Patient Support Roles Approval SOP, applicable healthcare compliance guidelines, and approved role scope. This position operates under the oversight of the National Access & Reimbursement National Lead and in coordination with Commercial Solutions Platform (CSP) Legal as required.

 

All regional FRMs activities must also comply with OIG guidelines, PhRMA Code, and applicable federal and state regulations. The Regional Director is responsible for monitoring team activity and documentation for compliance adherence and ensuring completion of all required compliance training.

 

 

The annual base salary for this position ranges from $189,200.00 to $315,400.00. In addition, this position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 22.5% 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.

 

 

 

 

 

 

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