Patient Access Manager

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

📋 Description

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

• Assist patients throughout the onboarding process, access, treatment, and ongoing therapy support.

• Provide authorized oncology care, benefits, product, disease-state, and program-specific information and education.

• Conduct welcome calls and maintain continuous touchpoints during the patient journey.

• Aid in patient enrollment in GSK services, including PAP, while guiding patients and offices through enrollment prerequisites and consent collection.

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

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

• Ensure accurate documentation of interactions and manage cases within Salesforce Health Cloud / CRM.

• Record and report adverse events and product quality concerns.

• Educate provider offices regarding payer coverage, coding, payment policies, benefit investigations, prior authorizations, and appeal processes.

• Assist in resolving office-level access cases and escalate intricate payer issues.

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

• Adhere to SOPs, business regulations, compliance guidelines, HIPAA mandates, and confidentiality measures.

• Ensure a clear distinction between patient-facing and account-facing tasks.

⛳️ Requirements

• Bachelor's degree.

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

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

• Possession of a valid driver's license.

• Candidates must reside within the designated territory or within 30 miles of the territory boundary.

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

• 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 other insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental and medical leave.

• Comprehensive benefits package.