Patient Access Manager

This is a fully remote position, open to applicants in Illinois, +3 more states.

📋 Description

• Act as the key liaison for patients, caregivers, and healthcare provider office staff, delivering authorized oncology-specific information and education.

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

• Assist patients in enrolling in GSK services, including the Patient Assistance Program (PAP), while guiding them and their offices through enrollment requirements and consent processes.

• Provide educational information regarding treatment through approved call guides, ensuring that Important Safety Information (ISI) and Prescribing Information (PI) are included when product education is provided.

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

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

• Execute patient communications using authorized recorded telephony and program systems, confirming identifiers and obtaining consent.

• Ensure precise documentation within GSK’s internal systems and Salesforce Health Cloud / CRM.

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

• Provide education to provider offices regarding payer coverage, coding practices, and payment policies related to GSK Oncology products.

• Assist in resolving access cases by clarifying benefit investigation results, prior authorization necessities, and appeal procedures.

• Identify and address access and reimbursement challenges, escalating complex issues to specialized access functions and leadership.

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

• Adhere to Standard Operating Procedures (SOPs), business protocols, compliance regulations, HIPAA mandates, and confidentiality standards.

• 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 programs, or assisting patients and providers with insurance verification, prior authorization processes, and access criteria.

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

• Possession of a valid driver's license.

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

• 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.

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

• Familiarity with CRM and case-management platforms, preferably Salesforce Health Cloud.

• Strong verbal, written, and presentation communication abilities.

🏝️ Benefits

• Annual bonus

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

• Health care and various insurance benefits for employees and their families

• Retirement benefits

• Paid holidays

• Vacation

• Paid caregiver/parental and medical leave

• Comprehensive benefits program for US employees