Patient Access Manager

This is a fully remote position, open to applicants in North Carolina, +3 more states.

📋 Description

• Act as the primary point of contact for consented patients and caregivers 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.

• Guide patients and caregivers through the onboarding process, access issues, and various stages of their treatment journey.

• Provide support to provider accounts regarding coverage, coding, and payment inquiries following prescribing decisions.

• Deliver approved oncology-specific information related to care, benefits, products, disease states, and program resources.

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

• Assist with patient enrollment in GSK services, including the Patient Assistance Program (PAP), and guide patients and offices through the enrollment process and consent capture.

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

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

• Verify patient identifiers and consent status while documenting interactions in approved systems.

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

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

• Facilitate office-level case resolution by clarifying benefit investigations, prior authorization requirements, and appeal processes.

• Identify barriers to access and reimbursement and escalate complex issues to specialist access functions and leadership.

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

• Document interactions and manage cases through Salesforce Health Cloud / CRM.

• Adhere to SOPs, business rules, corporate policies, confidentiality requirements, and HIPAA privacy obligations.

• Maintain a clear distinction between patient-facing and account-facing activities while safeguarding patient-identifiable information from commercial teams.

⛳️ Requirements

• Bachelor's degree.

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

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

• Valid driver's license.

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

• 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).

• Familiarity with CRM and case-management platforms, preferably Salesforce Health Cloud.

• Exceptional verbal, written, and presentation communication skills.

🏝️ Benefits

• Comprehensive benefits program for US employees (GSK US Benefits Summary).

• Employee benefits details provided through the GSK US Benefits Summary.