Patient Access Manager

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

📋 Description

• Act as the primary liaison for patients, caregivers, healthcare provider office staff, and provider accounts within the GSK Oncology portfolio.

• Assist patients throughout their onboarding, access, treatment, and ongoing support experiences.

• Conduct welcome calls and maintain regular contact points during the patient journey using authorized materials.

• Aid in enrollment for GSK services, including the Patient Assistance Program (PAP), while guiding patients and offices through enrollment stipulations and consent procedures.

• Provide authorized treatment education along with information regarding coverage, cost-sharing, financial aid, and alternative coverage options.

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

• Record interactions with patients and providers, managing cases within GSK internal systems and Salesforce Health Cloud / CRM.

• Document and report adverse events and product quality complaints.

• Educate provider offices on payer coverage, coding, payment policies, benefit investigation results, prior authorization needs, and appeal processes.

• Identify access and reimbursement challenges and escalate complex issues to specialized access functions and leadership.

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

• Adhere to SOPs, business rules, compliance protocols, HIPAA regulations, and relevant laws.

• Ensure a clear distinction between patient-facing and account-facing responsibilities while safeguarding patient-identifiable information.

⛳️ Requirements

• Bachelor's degree.

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

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

• Valid driver's license.

• Must reside 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.

• Proficient in using CRM and case-management systems, preferably 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.