Patient Access Manager

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

📋 Description

• Act as the primary liaison for patients, caregivers, and healthcare professional office staff.

• Deliver authorized oncology-specific information and education, encompassing benefits, products, and disease states.

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

• Assist patients in enrolling in GSK services, including the Patient Assistance Program (PAP).

• Guide patients and healthcare offices through enrollment prerequisites, missing information, and the consent process.

• Provide treatment education specific to the program and present Important Safety Information (ISI) and Prescribing Information (PI) during product education sessions.

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

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

• Conduct communications via approved recorded telephony and program systems.

• Ensure accurate documentation in GSK’s internal system.

• Record and report adverse events and product quality complaints.

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

• Assist in resolving access case issues at the office level, including benefit investigation outcomes, prior authorization processes, and appeal pathways.

• Identify barriers to access and reimbursement, escalating complex issues as necessary.

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

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

• Adhere to SOPs, business rules, corporate policies, compliance guidelines, HIPAA requirements, and relevant regulations.

• Maintain a clear distinction between patient-facing and account-facing activities while safeguarding patient-identifiable information.

⛳️ Requirements

• Bachelor’s degree.

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

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

• Valid driver’s license.

• Candidates must live 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.

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

• Active RN license and a Bachelor of Science in Nursing (BSN).

• Experience utilizing CRM and case-management systems, preferably Salesforce Health Cloud.

• Strong verbal, written, and presentation communication skills.

🏝️ Benefits

• Annual bonus.

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

• Health care coverage for employees and their families.

• Additional insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental leave.

• Paid medical leave.