Remote Patient Access Navigator – Oncology

GlaxoSmithKline; Providence (RI); Remote; USD 152,000 - 254,000; Full time

Job summary

GlaxoSmithKline seeks a field-based Patient Access Manager to support oncology patients and providers across coverage, reimbursement, and support programs. You will guide onboarding, access, and ongoing treatment journeys while ensuring HIPAA-compliant data handling and documentation in Salesforce Health Cloud.

In this role, you will educate offices about payer policies, support prior authorizations, and navigate complex access barriers.

Qualifications

• Bachelor's degree.
• 3+ years of experience in 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.

Responsibilities

• 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.

Skills

Data to Insights

Digital Fluency

Market Access Strategies

Matrix Leadership

Payer Evidence

Pricing Strategies

Scientific Literacy

Education

Bachelor's degree

MBA/MPH/PharmD or equivalent

Tools

Salesforce Health Cloud

Job description

GlaxoSmithKline seeks a field-based Patient Access Manager to support oncology patients and providers across coverage, reimbursement, and support programs. You will guide onboarding, access, and ongoing treatment journeys while ensuring HIPAA-compliant data handling and documentation in Salesforce Health Cloud.

In this role, you will educate offices about payer policies, support prior authorizations, and navigate complex access barriers.