Senior Director, Oncology Field Access & Reimbursement Strategy Lead

WHY PFIZER ONCOLOGY

Pfizer Commercial Oncology is introducing the world to the next era of cancer care. With a growing portfolio of novel therapies, industry-leading R&D, and a goal of delivering eight breakthroughs by 2030 across major cancer types, we're translating cutting-edge science into market-shaping impact. Here, you'll partner with exceptional colleagues across scientific, medical, and manufacturing teams, backed by advanced digital and AI-enabled infrastructure and the authority to accelerate medicines from discovery to delivery. Guided by our values of courage, excellence, equity, and joy, you'll have the opportunity to stretch your skills and build a career that evolves with you—across teams, roles, and the Pfizer enterprise. Join us to make history — for patients, for their families, for the future. 

ROLE SUMMARY

The National Field Reimbursement Lead is responsible for transforming Pfizer Oncology's field reimbursement strategy to meet the demands of a portfolio that spans oral oncolytics (Part D) and physician-administered, infused therapies (Part B/buy & bill). This senior leader must be fluent across both reimbursement environments sustaining support for priority oral assets while building out buy & bill capabilities required for launches and the next generation of infused oncology therapies. This leader will own the national vision and execution for access and reimbursement across a 25+ person field team, serve as the enterprise champion for AI-enabled reimbursement infrastructure, and leading a team focusing on working to ensure that post-prescription patients are initiating and staying on therapy in a manner that supports optimal outcomes on our key brands. The role reports directly to the VP, Oncology Patient Solutions & Alliances and will serve as a member of the OPSA Leadership Team

ROLE RESPONSIBILITIES

Strategic Leadership & National Vision

• Define and execute the national field reimbursement strategy aligned to Pfizer Oncology's evolving buy & bill and infused portfolio priorities
• Lead the transformation roadmap: build the capabilities and infrastructure to meet providers and patients wherever the evolving portfolio requires — in close collaboration with the Commercial Oncology Leadership Team and aligned to priority brands — without presupposing a fixed structural orientation before that work is done
• Serve as primary liaison to the VP and OPSA Leadership Team on field access trends, team performance, and market intelligence
• Partner with Marketing, Brand, US Market Access & Patient Support Services (USMA+PSS) and Customer Engagement Platform (CEP) teams to align reimbursement strategy with launch plans, Op Plans, and portfolio milestones
• Evolve team to provide a mix of a proactive and reactive support health system–first engagement model, in support of patient-first partnership
• Design and Execute aligned field reimbursement support for critical launches.
• Support, Motivate and Mentor an award-winning field reimbursement team – both Field Reimbursement Directors (FRD) and Patient Access Navigators (PAN) – to continue to activate with urgency and integrity.

Buy & Bill and Medical Benefit Expertise

• Provide subject matter expertise on medical benefit reimbursement, J-code/HCPCS coding, HOPPS billing, infusion billing/coding, and site-of-care dynamics
• Guide FRD teams through the complexity of buy & bill launches, including lack of product-specific J-codes, claim denial risk mitigation, and provider reimbursement confidence
• Oversee the team's proficiency development in prior authorization, peer-to-peer support, appeal construction, and denial trend analytics
• Ensure readiness across all reimbursement pathways—commercial, Medicare, Medicaid, 340B—for the full Pfizer Oncology portfolio including IV, injectable, and oral products

Health System & IDN Engagement

• Lead strategy for engaging Integrated Delivery Networks (IDNs), academic medical centers, and health systems through structured account planning, quarterly business reviews
• Develop and implement P&T committee engagement frameworks and formulary management protocols for relevant accounts
• Guide multi-site coordination across community, hospital outpatient, and academic settings to ensure consistent reimbursement support
• Oversee territory redesign as necessary to align FRD coverage with IDN footprint and health system priorities

Analytics, AI & Digital Integration

• Champion adoption of AI-enabled tools including Coach 360, automated denial analysis, and predictive patient-access modeling across the field team
• Oversee deployment of real-time territory dashboards and claims-based denial trend reporting to evolve teams account prioritization
• Drive EHR and digital integration priorities including (eg. CoverMyMeds PA automation, FHIR-based benefit verification and emerging patient-centered technologies) in partnership with our Digital team
• Partner with OPSA Analytics, USMA, and the PSS Data Aggregator team to build a systematic payer policy intelligence function
• Serve as OPSA LT sponsor for Field Execution and Innovation, including oversight of the new Field Innovation & Automation role

Team Leadership & People Development

• Directly manage Regional FRD Team Leads and PANs with indirect oversight of Enablement Field Reimbursement
• Lead talent assessment, reskilling curriculum oversight, and structured certification program (buy & bill competencies) across the +25 person team
• Drive recruiting, hiring, performance management, diversity initiatives, and succession planning across the field organization
• Implement and model Pfizer's Purpose Blueprint, Ambitions, Bold Moves, and Values; lead Action Plans from PLI survey results
• Build a compliant, high-performance culture aligned with all Pfizer policies, procedures, and relevant CMS/OIG regulations
• Lead team in continuity of high-functioning FRD mentorship program for growth and potential promotion of emerging talent

Cross-Functional Collaboration & Market Intelligence

• Lead cross-functional engagement with USMA+PSS, Oncology Brand Marketing, Legal, Compliance, Hub Operations, and Digital
• Synthesize field intelligence on local market dynamics, payer policy changes, and access barriers and communicate to VP and OPSA LT, and as requested to Commercial Oncology Leadership Team
• Provide input to business planning cycles through insights gathered from FRDs, access trends, and denial analytics
• Align with the Pfizer Oncology Together platform and Hub Operations team to optimize integrated patient support services
• Own the post-prescription patient journey on key brands — ensuring patients are initiating therapy, staying on therapy, and receiving the reimbursement support needed to achieve optimal outcomes; this accountability is a core performance expectation of this role, not an assumed outcome

BASIC QUALIFICATIONS

Experience

• Minimum 12 years of pharmaceutical industry experience, with demonstrated leadership in oncology access and reimbursement
• Proven experience in buy & bill reimbursement environments: medical benefit, J-code/HCPCS assignment, HOPPS billing, infusion center economics, and 340B navigation
• Track record of engaging with Integrated Delivery Networks (IDNs), academic medical centers, and health system stakeholders
• Experience managing field reimbursement teams in a matrixed, multi-brand oncology environment
• Background in hub vendor and third-party reimbursement intermediary management; co-pay assistance program design and oversight

Leadership & Capabilities

• Matrixed leadership experience with demonstrated ability to influence across functions without direct authority
• Exceptional executive communication, presentation, and strategic planning skills with a record of successful Op Plan implementation
• Proven ability to lead capability transformation and change management initiatives within a field-based organization
• Deep understanding of evolving healthcare market dynamics: value-based contracting, site-of-care economics, and specialty pharmacy distribution models
• Demonstrated commitment to compliance, regulatory adherence, and ethical leadership in a highly regulated environment

Education

• B.S. degree required
• Advanced certification in medical billing, coding, or reimbursement (e.g., CPC, CMRS, RHIA) strongly preferred
• MBA or advanced degree in Health Sciences, Healthcare Administration, or related field a plus

PREFERRED QUALIFICATIONS

• Direct line leadership experience with national-scope field teams of 20+ colleagues
• Familiarity with EHR platforms (Epic, Cerner) and digital access tools (CoverMyMeds, FHIR-based benefits verification)
• Experience with claims analytics, denial trend reporting, or territory intelligence dashboards
• Prior exposure to AI-enabled field tools and comfort navigating technology adoption with a field-based workforce
• P&T committee engagement and formulary management experience at IDN or health system level
• Excellent relationship-building, trust, and integrity with a record of sustained cross-functional collaboration

NON-STANDARD WORK SCHEDULE, TRAVEL OR ENVIRONMENT REQUIREMENTS

This role requires up to 50% travel, including regular field visits, national team meetings, and engagement with key health system accounts and industry conferences.

Other Job Details:

Last Date to Apply for Job: June 15th. 2026

Additional Location Information: US - remote (East Coast preferred)

Eligible for Relocation Package: No

#LI-PFE

The annual base salary for this position ranges from $230,900.00 to $384,800.00. In addition, this position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 25.0% 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.

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