Patient Access Manager

This is a fully remote position, open to applicants in Maine, +4 more states.

📋 Description

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

• Assist providers and patients in navigating coverage, reimbursement, and support solutions to ensure patients can start and continue their therapy.

• Conduct welcome calls and maintain ongoing communication with patients during their journey using approved call guides, FAQs, and Prescribing Information.

• Facilitate patient enrollment in GSK services, including the Patient Assistance Program (PAP), and guide patients and offices through enrollment requirements, missing information, and consent collection.

• Deliver approved treatment education and provide Important Safety Information (ISI) and Prescribing Information (PI) when product education is offered.

• Inform patients about coverage outcomes, cost-sharing, financial assistance options, alternative coverage, and independent foundations.

• 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 system and Salesforce Health Cloud / CRM.

• Report and document adverse events and product quality complaints within required timeframes.

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

• Assist with office-level access case resolution, including benefit investigation outcomes, prior authorization needs, and appeal processes.

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

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

• Comply with SOPs, business rules, corporate policies, compliance guidelines, HIPAA regulations, and relevant laws.

• Maintain a clear separation between patient-facing and account-facing activities, ensuring the protection of patient-identifiable information.

⛳️ Requirements

• Bachelor's degree.

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

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

• Valid driver's license.

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

• Extensive 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 degree.

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

• Proficient in using CRM and case-management platforms, preferably Salesforce Health Cloud.

• Exceptional 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.

• Comprehensive benefits program.

• Assistance or accommodation to apply for a job.