Description
We are seeking a Patient Access Manager to serve as a key point of contact for patients, caregivers, and healthcare provider office staff. The successful candidate will provide education and support on oncology-specific care, including benefit discussions and product information. The role involves navigating patients through the treatment process, facilitating access to medication, and ensuring compliance with regulatory requirements.
Key Responsibilities:
- Serve as a point of contact for patients, caregivers, and healthcare provider office staff, providing approved information and education on oncology-specific care
- Conduct welcome calls and ongoing journey touchpoints to support patients throughout their treatment experience
- Educate patients on coverage outcomes, cost-sharing, and financial assistance options
- Facilitate transfers to Specialty Pharmacy, Medical Information, and other relevant teams as needed
- Maintain accurate documentation of activities and interactions within GSK's internal system
- Capture and report adverse events and product quality complaints within required timeframes
Access & Reimbursement:
- Educate provider offices on payer coverage, coding, and payment policies for GSK Oncology products
- Support access case resolution at the office level, explaining benefit investigation outcomes and prior authorization requirements
- Identify access and reimbursement barriers and escalate complex issues to specialist teams
Operational & Compliance:
- Document all interactions and manage cases in Salesforce Health Cloud / CRM
- Follow standard operating procedures and business rules consistently
- Maintain strict separation between patient-facing and account-facing activity
Basic Qualifications:
- Bachelor's degree
- 3+ years of experience in field reimbursement, hub case management, patient experience programs, or related areas
- Ability to travel up to 20%, including overnights
- Valid driver's license
Preferred Qualifications:
- 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 degree
- Active RN license and Bachelor of Science in Nursing (BSN)
- Experience using CRM and case-management platforms, preferably Salesforce Health Cloud
Benefits:
- Competitive salary range: $152,250 to $253,750 per year
- Annual bonus and eligibility to participate in share-based long-term incentive program
- Comprehensive benefits package, including health care and other insurance benefits, retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave