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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in oncology patient navigation, access and reimbursement processes, and effective communication with patients and healthcare providers. Proficient in utilizing CRM systems, particularly Salesforce Health Cloud, to manage patient interactions and documentation.
Highest-signal resume keywords
Oncology Patient NavigationAccess And ReimbursementSalesforce Health CloudPatient Experience ProgramsField Reimbursement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient EducationInsurance VerificationPrior AuthorizationCase ManagementDocumentation Accuracy
Soft Skills
Excellent Communication SkillsPresentation Skills
Tools & Technologies
Salesforce Health CloudCRM Platforms
Certifications & Qualifications
Active RN LicenseBachelor Of Science In Nursing (BSN)
Industry Keywords
OncologyPayer CoverageFinancial AssistanceCompliance GuidanceHIPAA Requirements
Tech Stack
Tools & technologiesCloud
About the role
Key responsibilities & impact- Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved oncology-specific information and education.
- 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 and consent capture.
- Provide treatment education via approved call guides, offering ISI and PI whenever product education is delivered.
- Educate patients on coverage outcomes, cost-sharing, and financial assistance options.
- Facilitate transfers to Specialty Pharmacy, Medical Information, the GSK Response Center, REMS vendors, and back-office Benefits Specialists.
- Conduct patient communications through approved recorded telephony and program systems, verifying identifiers and consent.
- Maintain accurate documentation in GSK’s internal system and Salesforce Health Cloud / CRM.
- Capture and report adverse events and product quality complaints within required timeframes.
- Educate provider offices on payer coverage, coding, and payment policies for GSK Oncology products.
- Support access case resolution by explaining benefit investigation outcomes, prior authorization requirements, and appeal pathways.
- 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 approved boundaries.
- Follow SOPs, business rules, compliance guidance, HIPAA requirements, and confidentiality standards.
- Maintain strict separation between patient-facing and account-facing activities.
Requirements
What you’ll need- Bachelor's degree.
- 3+ years of experience combined 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.
- 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.
- Excellent verbal, written, and presentation communication skills.
Benefits
Comp & perks- 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
- Comprehensive benefits program for US employees
