Patient Access Manager

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

📋 Description

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

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

• Deliver approved oncology-specific information, education, benefits discussions, product and disease-state details, and program resources.

• Conduct welcome calls and maintain patient journey touchpoints using authorized guides, FAQs, and Prescribing Information.

• Aid in patient enrollment for GSK services, including the Patient Assistance Program (PAP), and help with enrollment requirements, missing information, and consent capture.

• Educate patients regarding coverage outcomes, cost-sharing, financial assistance, alternative coverage options, and independent foundations in accordance with program regulations.

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

• Ensure accurate documentation in GSK internal systems and manage cases using Salesforce Health Cloud/CRM.

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

• Provide education to provider offices about payer coverage, coding, payment policies, and GSK Patient Support Programs.

• Assist with office-level access case resolutions, which include benefit investigation outcomes, prior authorization needs, and appeal processes.

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

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

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

⛳️ 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 stays.

• Valid driver's license.

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

• Extensive 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.

• Exceptional verbal, written, and presentation communication skills.

• Adherence to HIPAA privacy regulations, company policies, standard operating procedures (SOPs), and relevant laws.

🏝️ Benefits

• Annual bonus.

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

• Health care and additional insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental leave.

• Paid medical leave.

• Accommodation or other assistance available for applicants, if needed.