Patient Access Manager

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

📋 Description

• Act as the primary contact for consented patients, caregivers, and provider offices within the GSK Oncology portfolio.

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

• Deliver approved information regarding oncology care, benefits, products, disease states, and program resources.

• Conduct welcome calls and maintain ongoing patient journey touchpoints utilizing approved call guides, FAQs, and Prescribing Information.

• Facilitate enrollment in GSK services, including the Patient Assistance Program (PAP), and acquire any missing information and consent.

• Provide authorized treatment education and supply Important Safety Information (ISI) and Prescribing Information (PI) during product education sessions.

• Inform patients about 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.

• Verify patient identifiers and consent status prior to interactions and accurately document activities in GSK systems.

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

• Educate provider offices on 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 appeal processes.

• Identify and escalate issues related to access, reimbursement, systemic, and technical payer concerns.

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

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

• Ensure a clear distinction between patient-facing and account-facing activities, safeguarding patient-identifiable information.

• Adhere to SOPs, business rules, corporate policies, compliance guidance, and relevant regulations.

⛳️ 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 requirements, and access criteria.

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

• Valid driver's license required.

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

• Extensive experience in oncology patient navigation, access and reimbursement, or hub case management is preferred.

• An advanced degree, such as an MBA, MPH, PharmD, or another relevant clinical or business degree, is preferred.

• An active RN license and a Bachelor of Science in Nursing (BSN) are preferred.

• Experience with CRM and case-management platforms, preferably Salesforce Health Cloud, is preferred.

• Exceptional verbal, written, and presentation communication skills.

🏝️ Benefits

• Annual bonus.

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

• Health care benefits for employees and their families.

• Additional insurance benefits for employees and their families.

• Retirement benefits.

• Paid holidays.

• Vacation time.

• Paid caregiver/parental leave.

• Paid medical leave.

• Comprehensive benefits program.