Patient Access Manager

🕒 vor 1 Tag

🦌 Connecticut, North Carolina, +2 weitere Bundesländer – Remote

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💵 $152.250 - $253.750 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of GSK

GSK

10.000+ Mitarbeiter

🏭 Fertigung

💊 Pharmazie

🏥 Gesundheitswesen

Manufacturing • Pharmaceuticals • Healthcare

Wir vereinen Wissenschaft, Technologie und Talent, um gemeinsam Krankheiten voraus zu sein. Unsere Community-Richtlinien: https://gsk.to/socialmedia

Beschreibung

• Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved oncology care information and education • Conduct welcome calls and ongoing journey touchpoints using approved call guides, FAQs, and Prescribing Information • Support patient enrollment in GSK services, including PAP, and guide patients and offices through enrollment requirements, missing information, and consent capture • Provide program-specific treatment education and offer ISI and PI whenever product education is delivered • Educate patients on coverage outcomes, cost-sharing, financial assistance options, alternate coverage, and independent foundations within program rules • Facilitate transfers to Specialty Pharmacy, Medical Information, the GSK Response Center, REMS vendors, and back-office Benefits Specialists • Conduct patient communication through approved recorded telephony and program systems, verifying identifiers and consent status • Maintain accurate documentation in GSK’s internal system • Capture and report adverse events and product quality complaints within required timeframes • Educate provider offices on payer coverage, coding, and payment policies for GSK Oncology products • Support access case resolution by explaining benefit investigation outcomes, prior authorization requirements, processes, and appeal pathways • Identify access and reimbursement barriers and escalate complex, systemic, or technical payer issues • Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within compliance boundaries • Document interactions and manage cases in Salesforce Health Cloud / CRM • Follow SOPs, business rules, corporate policies, and compliance requirements while maintaining separation between patient-facing and account-facing activities

🎯 Anforderungen

• Bachelor's degree • 3+ years of experience combined in field reimbursement, hub case management, patient experience programs, or helping patients and providers navigate insurance verification, prior authorization requirements, and access criteria • Ability to travel up to 20%, including overnights • Valid driver's license • Candidates should reside within the assigned territory or within 30 miles of the territory border • 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, to document interactions, manage cases, and maintain accurate records • Excellent verbal, written, and presentation communication skills

🏖️ Vorteile

• Annual bonus • Eligibility to participate in a share based long term incentive program • Health care and other insurance benefits for employee and family • Retirement benefits • Paid holidays • Vacation • Paid caregiver/parental and medical leave

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