Patient Access Manager

This is a fully remote position, open to applicants in New Mexico, +1 more state.

📋 Description

• Act as the primary contact for consented patients, caregivers, healthcare providers, and office staff within the GSK Oncology portfolio.

• Assist patients in navigating coverage, reimbursement, onboarding, access, treatment support, and their ongoing therapy experiences.

• Perform welcome calls and maintain ongoing communication with patients throughout their journey using authorized call guides, FAQs, and Prescribing Information.

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

• Provide authorized treatment education and clarify coverage outcomes, cost-sharing, financial assistance, alternative coverage options, and independent foundations.

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

• Confirm patient identifiers and consent status prior to interactions and document all activities within GSK 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 resolving office-level access cases, including benefit investigations, prior authorizations, and appeal processes.

• Identify barriers to access and reimbursement, escalating complex issues to specialist access functions and leadership as needed.

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

• Manage cases and document interactions using Salesforce Health Cloud / CRM.

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

⛳️ 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 must live 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.

• Advanced degree such as an MBA, MPH, PharmD, or another relevant clinical or business qualification.

• Active RN license and 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

• Comprehensive benefits program for employees in the US.

• Accommodations or assistance available for applicants.

• Commitment to equal opportunity employment.