Patient Access Manager

🕒 il y a 2 jours

🐊 Florida, North Carolina – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 10%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of GSK

GSK

10 000+ employés

🏭 Fabrication

💊 Pharmaceutique

🏥 Santé

Manufacturing • Pharmaceuticals • Healthcare

Nous unissons science, technologie et talents pour prendre de l'avance sur les maladies ensemble.\nNos règles communautaires : https://gsk.to/socialmedia

Description

• Serve as the single point of contact for patients, caregivers, and healthcare provider office staff across the GSK Oncology portfolio • Guide patients through onboarding, access, reimbursement, treatment support, and ongoing therapy journeys • Conduct welcome calls and ongoing patient journey touchpoints using approved call guides, FAQs, and Prescribing Information • Support enrolment in GSK services, including PAP, and guide patients and offices through requirements, missing information, and consent capture • Provide approved treatment education and information on coverage outcomes, cost-sharing, financial assistance, and alternate coverage options • Facilitate transfers to Specialty Pharmacy, Medical Information, the GSK Response Center, REMS vendors, and Benefits Specialists • Maintain accurate documentation in GSK internal systems and Salesforce Health Cloud/CRM • Capture and report adverse events and product quality complaints within required timeframes • Educate provider offices on payer coverage, coding, payment policies, and GSK Patient Support Programs • Support office-level access case resolution, including benefit investigation outcomes, prior authorization processes, and appeal pathways • Identify and escalate complex or systemic payer issues to specialist access functions and leadership • Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within compliance boundaries • Follow SOPs, business rules, corporate policies, HIPAA requirements, and compliance guardrails • Maintain strict separation between patient-facing and account-facing activities

🎯 Exigences

• Bachelor's degree • 3+ years of combined experience 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 • Experience using CRM and case-management platforms, preferably Salesforce Health Cloud • Excellent verbal, written, and presentation communication skills • Advanced degree such as an MBA, MPH, PharmD, or another relevant clinical or business degree is preferred • Active RN license and Bachelor of Science in Nursing (BSN) are preferred

🏖️ Avantages

• Comprehensive benefits program for US employees (details provided via GSK US Benefits Summary) • Equal opportunity employment • Accommodation or other assistance available during the application process

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