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. Key responsibilities include:
Patient Navigation & Support:
- Provide approved information and education on oncology-specific care
- Conduct welcome calls and ongoing journey touchpoints
- Educate patients on coverage outcomes, cost-sharing, and financial assistance options
- Facilitate transfers to Specialty Pharmacy, Medical Information, and other relevant teams
- Maintain accurate documentation of activities and interactions
- Capture and report adverse events and product quality complaints
Access & Reimbursement:
- Educate provider offices on payer coverage, coding, and payment policies
- Support access case resolution at the office level
- Identify access and reimbursement barriers and escalate complex issues
- Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams
Operational & Compliance:
- Document interactions and manage cases in Salesforce Health Cloud / CRM
- Follow all SOPs and business rules consistently
- Maintain strict separation between patient-facing and account-facing activity
- Operate strictly within approved materials and compliance guardrails
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%
- 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