Patient Access Manager

🔥 4 minutes ago

🗽 New York, North Carolina – Remote

🗽 New York – Remote 🌲 North Carolina – Remote

💵 $152.3k - $253.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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GSK

WebsiteLinkedInAll Job Openings

10,000+ employees

🏭 Manufacturing

💊 Pharmaceuticals

🏥 Healthcare

Manufacturing • Pharmaceuticals • 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.

📋 Description

• Serve as the single point of contact for consented patients, caregivers, providers, and office staff across the GSK Oncology portfolio • Guide patients through onboarding, access, and ongoing treatment-journey phases • Provide approved oncology-specific information and education, including benefit discussions, product and disease-state information per the PI, and program resources • 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 treatment education and offer the ISI and PI whenever product education is delivered • Educate patients on coverage outcomes, cost-sharing, financial assistance, 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 communications through approved recorded telephony and program systems while verifying identifiers and consent status • 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 investigations, prior authorizations, and appeals • Identify access and reimbursement barriers and escalate complex issues to specialist access functions and leadership • Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within compliance boundaries • Maintain strict separation between patient-facing and account-facing activities and protect patient-identifiable information • Follow SOPs, business rules, company policies, compliance guidance, HIPAA requirements, and applicable regulations

🎯 Requirements

• 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 preferred • Advanced degree, such as an MBA, MPH, PharmD, or another relevant clinical or business degree preferred • Active RN license and Bachelor of Science in Nursing (BSN) preferred • Experience using CRM and case-management platforms, preferably Salesforce Health Cloud • Excellent verbal, written, and presentation communication skills • Ability to use approved materials and comply with federal, state, and local regulations, HIPAA requirements, SOPs, and business rules

🏖️ Benefits

• 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