Description
We are seeking a Patient Access Manager (PAM) to serve as a key point of contact for patients, caregivers, and healthcare provider (HCP) office staff. The successful candidate will provide education and support on oncology-specific care, benefit discussions, and product information.
Key Responsibilities:
- Serve as the primary point of contact for patients, caregivers, and HCP office staff, providing approved information and education on oncology-specific care.
- Conduct welcome calls and ongoing journey touchpoints to discuss patient experiences and provide program-specific treatment education.
- 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 access functions and leadership.
Operational & Compliance:
- Document all interactions and manage cases in Salesforce Health Cloud / CRM.
- Follow standard operating procedures (SOPs) and business rules consistently.
- Maintain strict separation between patient-facing and account-facing activities.
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.