Patient Access Manager

This is a fully remote position, open to applicants in California, +2 more states.

📋 Description

• Act as the main liaison for patients, caregivers, and healthcare provider office staff.

• Offer approved information regarding oncology care, benefits, products, disease states, and programs.

• Execute welcome calls and maintain ongoing touchpoints throughout the patient journey.

• Assist with patient enrollment in GSK services, including the Patient Assistance Program (PAP).

• Guide patients and their offices through the enrollment process, addressing any missing information and consent capture.

• Provide treatment education utilizing approved call guides and supply the Important Safety Information (ISI) and Product Information (PI) when necessary.

• Inform patients about coverage outcomes, cost-sharing obligations, and financial assistance options.

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

• Ensure accurate documentation and record any adverse events or product quality complaints.

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

• Assist in resolving access cases, including benefit investigations, prior authorizations, and appeal processes.

• Identify reimbursement challenges and escalate complex issues as needed.

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

• Document all interactions and manage cases in Salesforce Health Cloud / CRM.

• Adhere to standard operating procedures (SOPs), business rules, compliance guidelines, HIPAA regulations, and confidentiality protocols.

• Maintain a clear distinction between patient-facing and account-facing responsibilities.

⛳️ Requirements

• Bachelor's degree.

• Over 3 years of combined experience in field reimbursement, hub case management, patient experience initiatives, or assisting patients and providers with insurance verification, prior authorization requirements, and access criteria.

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

• A valid driver's license.

• Candidates must reside within the assigned territory or within 30 miles of the territory boundary.

• Extensive experience in oncology patient navigation, access and reimbursement, or hub case management.

• Proficient in using CRM and case management platforms, preferably Salesforce Health Cloud.

• Exceptional verbal, written, and presentation communication skills.

🏝️ Benefits

• Annual bonus.

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

• Health care and other insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental and medical leave.