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Patient Access Manager

πŸ•’ 2 days ago

🌲 North Carolina, Ohio – Remote

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πŸ’΅ $152.3k - $253.8k / year

⏰ Full Time

🟑 Mid-level

🟠 Senior

πŸ‘” Manager

πŸ¦… H1B Visa Sponsor

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πŸ‘» Ghost score 0%

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Logo of GSK

GSK

10,000+ employees

🏭 Manufacturing

πŸ’Š Pharmaceuticals

πŸ₯ Healthcare

Manufacturing β€’ Pharmaceuticals β€’ Healthcare

GSK is a global healthcare company focused on uniting science, technology, and talent to advance pharmaceutical products and vaccines. With a commitment to innovation, GSK aims to provide solutions that help manage and prevent diseases, improving health outcomes for patients worldwide.

πŸ“‹ Description

β€’ Serve as the point of contact for patients, caregivers, and HCP office staff across the GSK Oncology portfolio β€’ Conduct welcome calls and ongoing patient-journey touchpoints using approved call guides, FAQs, and Prescribing Information β€’ Support patient enrollment in GSK services, including PAP, and guide patients and offices through enrollment requirements and consent capture β€’ Provide approved treatment education and offer ISI and PI when product education is delivered β€’ Educate patients on coverage outcomes, cost-sharing, financial assistance options, alternate coverage, and independent foundations β€’ Facilitate transfers to Specialty Pharmacy, Medical Information, the GSK Response Center, REMS vendors, and back-office Benefits Specialists β€’ Verify patient identifiers and consent status before interactions and maintain accurate documentation in GSK's internal system β€’ Capture and report adverse events and product quality complaints within required timeframes β€’ Educate provider offices on payer coverage, coding, and payment policies for GSK Oncology products β€’ Support office-level access case resolution, including benefit investigation outcomes, prior authorization requirements, processes, and appeal pathways β€’ Identify access and reimbursement barriers and escalate complex issues to specialist access functions and leadership β€’ Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within compliance boundaries β€’ Document interactions and manage cases in Salesforce Health Cloud / CRM β€’ Follow SOPs, business rules, corporate policies, compliance guidance, HIPAA requirements, and data-separation rules

🎯 Requirements

β€’ Bachelor's degree β€’ 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 β€’ Ability to travel up to 20%, including overnights β€’ Valid driver's license β€’ Candidates should reside within the assigned territory or within 30 miles of the territory border β€’ Extensive experience in oncology patient navigation, access and reimbursement, or hub case management β€’ Experience using CRM and case-management platforms, preferably Salesforce Health Cloud β€’ Active RN license and Bachelor of Science in Nursing (BSN) preferred β€’ Excellent verbal, written, and presentation communication skills

πŸ–οΈ Benefits

β€’ Annual bonus β€’ Eligibility to participate in share based long term incentive program β€’ Health care and other insurance benefits for employee and family β€’ Retirement benefits β€’ Paid holidays β€’ Vacation β€’ Paid caregiver/parental and medical leave β€’ Comprehensive benefits program for US employees

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