Oncology Access & Reimbursement Leader

GlaxoSmithKline; Lexington (KY); Remote; USD 70,000 - 95,000; Full time

Job summary

GlaxoSmithKline is seeking a Patient Access Manager to serve as the field-based SPOC for oncology patients and providers, guiding enrollment, coverage, and access throughout the treatment journey.

The role emphasizes education on payer requirements, coordination with internal teams, and strict adherence to HIPAA and program rules. Travel up to 20% is expected, with a valid driver's license required.

Qualifications

• Bachelor's degree required; 3+ years in field reimbursement, hub case management, patient experience programs, or access navigation.
• Ability to travel up to 20%, with valid driver's license.
• Experience with payer policies, prior authorization, and coverage processes a plus.

Responsibilities

• Serve as field-based SPOC guiding providers, patients, and caregivers through onboarding, coverage, and access for GSK Oncology.
• Educate on payer coverage, coding, and payment policies using approved materials; assist with PAP and enrollment.
• Document interactions in Salesforce Health Cloud; report adverse events per guidelines; ensure HIPAA compliance.
• Coordinate with Specialty Pharmacy, Medical Information, and Benefits Specialists for BI/BV and PA tracking.
• Support access case resolution, explain benefit determinations, and navigate appeals pathways with offices.

Skills

Data to Insights

Digital Fluency

Market Access Strategies

Matrix Leadership

Payer Evidence

Pricing Strategies

Scientific Literacy

Education

Bachelor's degree

MBA/MPH/PharmD

Tools

Salesforce Health Cloud

Job description

GlaxoSmithKline is seeking a Patient Access Manager to serve as the field-based SPOC for oncology patients and providers, guiding enrollment, coverage, and access throughout the treatment journey.

The role emphasizes education on payer requirements, coordination with internal teams, and strict adherence to HIPAA and program rules. Travel up to 20% is expected, with a valid driver's license required.