Patient Access Manager

This is a fully remote position, open to applicants in Arizona, +1 more state.

📋 Description

• Act as the main point of contact for patients, caregivers, and healthcare provider office staff within the GSK Oncology portfolio.

• Deliver authorized oncology-specific information regarding care, benefits, products, disease states, and program resources.

• Perform welcome calls and maintain ongoing patient-journey interactions utilizing approved call guides, FAQs, and Prescribing Information.

• Assist in patient enrollment for GSK services, including Patient Assistance Programs (PAP), and guide patients and offices through enrollment prerequisites, missing information, and consent acquisition.

• Provide sanctioned treatment education and distribute ISI and PI when product information is communicated.

• Inform patients about coverage results, cost-sharing, and financial assistance alternatives.

• Coordinate transfers to Specialty Pharmacy, Medical Information, the GSK Response Center, REMS vendors, and back-office Benefits Specialists.

• Communicate through authorized recorded telephony and program systems while confirming patient identifiers and consent status.

• Maintain precise documentation in GSK’s internal system and Salesforce Health Cloud / CRM.

• Capture and report adverse events and product quality complaints within mandated timelines.

• Educate provider offices about payer coverage, coding, payment policies, and GSK Patient Support Programs.

• Assist in resolving office-level access cases, including benefit investigations, prior authorizations, and appeals.

• Identify access and reimbursement challenges and escalate intricate issues to specialist access functions and leadership.

• Collaborate with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within approved limits.

• Adhere to SOPs, business rules, corporate policies, compliance guidelines, and ensure a strict separation between patient-facing and account-facing responsibilities.

⛳️ Requirements

• Bachelor’s degree.

• A minimum of 3 years of cumulative experience in field reimbursement, hub case management, patient experience programs, or assisting patients and providers with insurance verification, prior authorization processes, and access criteria.

• Willingness to travel up to 20%, including overnight stays.

• Valid driver’s license.

• Candidates should ideally reside within the assigned territory or within 30 miles of the territory border.

• Significant experience in oncology patient navigation, access and reimbursement, or hub case management is preferred.

• Advanced degree such as an MBA, MPH, PharmD, or another relevant clinical or business qualification is preferred.

• Active RN license along with a Bachelor of Science in Nursing (BSN) is preferred.

• Experience utilizing CRM and case-management platforms, preferably Salesforce Health Cloud, is preferred.

• Exceptional verbal, written, and presentation communication skills are preferred.

• Ability to function within HIPAA privacy regulations, company policies, compliance standards, and applicable federal, state, and local laws.

🏝️ Benefits

• Annual bonus.

• Eligibility to join a share-based long-term incentive program.

• Health care benefits for both employee and family.

• Additional insurance benefits for employee and family.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental leave.

• Paid medical leave.

• Assistance or accommodation to apply for a job.