Patient Access Manager – North IL/IA

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

📋 Description

• Act as the primary liaison for patients, caregivers, healthcare provider office staff, and provider accounts within the GSK Oncology portfolio.

• Assist patients throughout their onboarding, access, reimbursement, treatment support, and continuous therapy experiences.

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

• Conduct welcome calls and maintain patient engagement through various touchpoints using authorized call guides, FAQs, and Prescribing Information.

• Aid patient enrollment in GSK services, including the Patient Assistance Program (PAP), and guide patients and offices through enrollment prerequisites and consent processes.

• Inform patients about coverage outcomes, cost-sharing, financial aid, alternative coverage options, and independent foundations within program regulations.

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

• Ensure precise documentation in GSK internal systems and Salesforce Health Cloud / CRM.

• Document and report adverse events and product quality complaints within stipulated timeframes.

• Educate provider offices regarding payer coverage, coding, payment policies, benefit investigations, prior authorization, and appeal processes.

• Identify access and reimbursement obstacles and escalate complex issues to specialist access teams and leadership.

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

• Adhere to SOPs, business rules, compliance guidelines, HIPAA privacy standards, and federal, state, and local regulations.

• Maintain a clear distinction between patient-facing and account-facing tasks while safeguarding patient-identifiable information.

⛳️ Requirements

• Bachelor's degree.

• Minimum of 3 years of cumulative experience in field reimbursement, hub case management, patient experience programs, or assisting patients and providers with insurance verification, prior authorization demands, 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 its border.

• Significant experience in oncology patient navigation, access and reimbursement, or hub case management.

• Proficiency in using CRM and case-management platforms, ideally Salesforce Health Cloud.

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

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

• Exceptional verbal, written, and presentation communication abilities.

🏝️ 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.

• Paid caregiver/parental and medical leave.

• Assistance or accommodations for job applications.