Patient Access Manager

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

📋 Description

• Act as the key contact for patients, caregivers, and healthcare provider office staff, delivering approved oncology-related information and education.

• Initiate welcome calls and ongoing communication touchpoints using sanctioned call guides, FAQs, and Prescribing Information.

• Assist in patient enrollment for GSK services, including the Patient Assistance Program (PAP), and guide patients and offices through the enrollment process and consent acquisition.

• Provide education on program-specific treatments and supply Important Safety Information (ISI) and Prescribing Information (PI) whenever product education is given.

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

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

• Conduct patient communications through approved recorded telephony and program systems while confirming identifiers and consent status.

• Ensure accurate documentation is maintained in GSK’s internal systems.

• Capture and report adverse events and product quality complaints within specified timeframes.

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

• Assist in office-level access case resolution, which includes benefit investigation outcomes, prior authorization requirements, and appeal processes.

• Identify access and reimbursement challenges and escalate complex issues as necessary.

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

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

• Adhere to SOPs, business rules, corporate policies, compliance guidelines, HIPAA requirements, and confidentiality measures.

⛳️ 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.

• Possession of a valid driver's license.

• Candidates should live within the designated territory or within 30 miles of its border.

• Extensive 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 along with a Bachelor of Science in Nursing (BSN).

• Proficiency in using CRM and case-management platforms, 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 and other insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation.

• Paid caregiver/parental and medical leave.