Patient Access Manager

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

📋 Description

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

• Assist patients through the onboarding process, access, reimbursement, and ongoing treatment support phases.

• Perform welcome calls and maintain patient journey interactions utilizing approved call guides, FAQs, and Prescribing Information.

• Aid in patient enrollment for GSK services, including PAP, while guiding patients and offices through enrollment requirements and obtaining consent.

• Provide approved treatment education and present ISI and PI during product education sessions.

• Inform patients about coverage outcomes, cost-sharing, financial assistance, alternative coverage, and independent foundations in accordance with program rules.

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

• Conduct communications via approved recorded telephony and program systems, confirming identifiers and consent status.

• Record activities and interactions within GSK’s internal systems and Salesforce Health Cloud / CRM.

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

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

• Assist in resolving access cases at the office level, including benefit investigations, prior authorizations, and appeals.

• Identify access and reimbursement challenges and escalate complex issues to specialized access functions and leadership.

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

• Adhere to SOPs, business rules, corporate policies, HIPAA regulations, and compliance guidelines.

• Ensure a clear distinction between patient-facing and account-facing activities while safeguarding 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 needs, and access criteria.

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

• Valid driver's license required.

• 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.

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

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

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

• Exceptional verbal, written, and presentation communication skills.

🏝️ 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.