Patient Access Manager

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

📋 Description

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

• Assist patients throughout the onboarding process, access, reimbursement, and continuous treatment-support stages.

• Perform welcome calls and maintain ongoing communication during the patient journey using approved call scripts, FAQs, and Prescribing Information.

• Aid in enrolling patients in GSK services, such as PAP, and guide both patients and offices through the enrollment process and consent collection.

• Offer authorized treatment education and insights regarding coverage outcomes, cost-sharing, and financial assistance options.

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

• Ensure accurate documentation in GSK’s internal systems and Salesforce Health Cloud / CRM.

• Record and report adverse events and product quality complaints within the stipulated timeframes.

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

• Assist in resolving office-level access cases by clarifying benefit investigations, prior authorization requirements, and appeal processes.

• Identify and escalate complex, systemic, or technical payer issues.

• Collaborate with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams while adhering to compliance guidelines.

• Adhere to SOPs, business rules, compliance directives, HIPAA regulations, and confidentiality standards.

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

⛳️ Requirements

• A Bachelor’s degree.

• Over 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.

• A valid driver’s license.

• Candidates should live within the assigned territory or within 30 miles of the territory boundary.

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

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

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

• Proficient in using CRM and case-management platforms, with a preference for Salesforce Health Cloud.

• Exceptional verbal, written, and presentation communication abilities.

🏝️ Benefits

• Comprehensive benefits program for US employees (details available via GSK US Benefits Summary).

• Equal Opportunity Employer.