Patient Access Manager (North FL)

GlaxoSmithKline; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

GlaxoSmithKline is seeking a Patient Access Manager to serve as the field-based single point of contact for providers, patients, and caregivers across the Oncology portfolio. You will guide onboarding, access, and ongoing treatment journey while supporting office accounts with coverage, coding, and payment questions after prescribing decisions are made.

The role emphasizes non-promotional activities, HIPAA compliance, and coordination with Specialty Pharmacy, GSK Response Center, REMS vendors,

Qualifications

• Bachelor's degree required.
• 3+ years in field reimbursement, hub case management, patient experience programs, or insurance verification.
• Willingness to travel up to 20%, including overnights.
• Valid driver's license required.

Responsibilities

• Patient Navigation & Support: act as SPOC for patients, caregivers and HCP staff, educating on coverage, enrollment, and program resources.
• Access & Reimbursement: educate provider offices on payer coverage, coding, and payment policies; assist with benefit investigation and prior authorizations.
• Operational & Compliance: document all interactions in CRM; follow SOPs and privacy/compliance rules; maintain separation between patient-facing and account-facing activities.

Skills

Data to Insights

Digital Fluency

Market Access Strategies

Matrix Leadership

Payer Evidence

Pricing Strategies

Scientific Literacy

Education

Bachelor's degree

BSN

RN license

MBA

MPH

PharmD

Tools

Salesforce Health Cloud

Job description

Position Summary

The Patient Access Manager is a field-based single point of contact (SPOC) helping providers and patients navigate coverage, reimbursement, and support solutions so patients start and remain on therapy. The PAM is the primary contact for consented patients and caregivers across the GSK Oncology portfolio, guiding them through onboarding, access, and ongoing phases of the treatment journey, and supports provider accounts within the territory on coverage, coding, and payment questions after a prescribing decision has been made. The role is non-promotional and provides one accountable contact across the GSK Oncology portfolio.

Key Responsibilities

• Patient Navigation & Support: Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved information and education on oncology-specific care, including benefit discussions, product and disease-state per the PI, and program-specific resources. Conduct welcome calls and ongoing journey touchpoints, speaking to the end-to-end patient experience within program specifics and using approved call guides, FAQs, and the Prescribing Information. Support patient enrolment in GSK services, including PAP, and guide patients and offices through enrolment requirements, missing information, and consent capture. Provide program-specific treatment education via approved call guides, offering the ISI and PI whenever product education is delivered. Educate patients on coverage outcomes, cost-sharing, and financial assistance options, including publicly available information on 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 for BI/BV and PA tracking when appropriate. Conduct all patient communication through approved recorded telephony and program systems, verifying patient identifiers and consent status before each interaction. Maintain accurate documentation of activities and interactions within GSK's internal system. Capture and report adverse events and product quality complaints within required timeframes and follow crisis-management procedures. Adhere to company policies and procedures, compliance guidance, and policies applicable to federal, state, and local regulations. Ensures activities align with HIPAA privacy requirements and internal compliance guidelines.

• Access & Reimbursement: Educate provider offices on payer coverage, coding, and payment policies for GSK Oncology products using approved materials and help offices understand and use GSK Patient Support Programs. Support access case resolution at the office level: explain benefit investigation outcomes, prior authorization requirements and processes, and appeal pathways, with the office initiating and submitting all payer forms. Identify access and reimbursement barriers and elevate complex, systemic, or technical payer issues to the specialist access function and to leadership. Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams within the boundaries of the PAN Standard and program ways of working.

• Operational & Compliance: Document all interactions and manage cases in Salesforce Health Cloud / CRM in line with program standards. Follow all SOPs and business rules consistently, and complete training on corporate policies governing access to confidential data on time. Maintain strict separation between patient-facing and account-facing activity: no patient-identifiable information is shared with commercial teams, and the two sides of the role are never combined in a single engagement or documentation thread. Operate strictly within approved materials and compliance guardrails, maintaining the highest level of ethics and integrity.

Basic Qualifications

Basic Qualifications: Bachelor's degree. 3+ years of experience combined in any of the following areas: field reimbursement, hub case management, patient experience programs, 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.

Preferred Qualifications

Preferred Qualifications: 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.

Skills

#LI-GSK #LI-Remote #GSKpatientexperience Skills Data to Insights, Digital Fluency, Market Access Strategies, Matrix Leadership, Payer Evidence, Pricing Strategies, Scientific Literacy

Benefits Summary

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.

Why GSK?

Uniting science, technology and talent to get ahead of disease together. GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases - to impact health at scale. People and patients around the world count on the medicines and vaccines we make, so we're committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.

Equal Opportunity Employer

GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.

Compliance and Regulatory Notice

If you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK's compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/.

Company Vision and Culture

We are a global biopharma company with a special purpose - to unite science, technology and talent to get ahead of disease together - so we can positively impact the health of billions of people and deliver stronger, more sustainable shareholder returns - as an organisation where people can thrive. Getting ahead means preventing disease as well as treating it, and we aim to impact the health of 2.5 billion people around the world in the next 10 years. Our success absolutely depends on our people. While getting ahead of disease together is about our ambition for patients and shareholders, it's also about making GSK a place where people can thrive. We want GSK to be a place where they can be themselves - feeling welcome, valued and included. Where they can keep growing and look after their wellbeing. So, if you share our ambition, join us at this exciting moment in our journey to get Ahead Together. Find out more on our career site.