Field Reimbursement Manager

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🕒 Agosto 17

🗽 New York – Remoto

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💵 $88.300 - $147.100 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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McKesson

10.000+ funcionários

Fundada em 1833

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A McKesson é uma líder diversificada em saúde, especializada em distribuição farmacêutica, suprimentos médicos e serviços de saúde. Suas soluções facilitam o acesso de pacientes a terapias transformadoras, apoiam operações eficientes para farmácias, sistemas de saúde e clínicas, e abordam questões críticas como a escassez de medicamentos por meio de uma cadeia de suprimentos resiliente. A McKesson oferece serviços abrangentes como software de gestão de farmácias, consultoria e soluções tecnológicas para práticas especializadas, focando em melhorar os resultados de saúde e promover a indústria farmacêutica. Eles trabalham em estreita colaboração com empresas biofarmacêuticas para melhorar o acesso a medicamentos, adesão e comercialização, enquanto apoiam práticas oncológicas e biofarmacêuticas por meio de insights orientados por dados e evidências do mundo real.

Descrição

• Manage an assigned territory supporting reimbursement and patient services for a specific drug • Assist with patient reimbursement challenges, including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals • Educate physician offices on payer landscapes and available services through remote interaction and on-site training • Build relationships with physician offices and manufacturer representatives • Collaborate with internal program hub support services to meet customer needs • Arrange site visits, manufacturer trainings, and educational training venues • Provide on-site and on-demand education, including Lunch and Learns and Dinner presentations • Deliver reimbursement support covering case management, billing and coding updates, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals, and assistance programs • Set up appointments and complete outbound calls to targeted offices • Assist with backlog casework and additional day-to-day in-office work • Interface with physicians and manufacturer representatives to exchange patient- and provider-specific information • Track all interactions and activities in FRM CRM and hub systems, with regular management and client reporting • Monitor territory and program performance using CRM dashboards and quarterly trending reports • Research and compile provider and manufacturer representative information for reimbursement databases • Create facility databases for new providers in FRM CRM

🎯 Requisitos

• Candidate must live within the NYC, NY area • 4-year degree in a related field or equivalent experience • 4+ years of healthcare-related reimbursement experience • Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy • Healthcare industry experience, including insurance verification, prior authorizations, and/or claim adjudication • Experience in a physician’s office or clinics • Medicare and commercial insurance coverage experience • Ability to deliver and document benefit investigation outcomes and relay regular status reports • Proven presentation skills and experience • Ability to handle multiple priorities effectively • Excellent organizational skills • Strong computer literacy, including PowerPoint and web meeting experience • Previous field experience is a plus • Previous specialty pharmacy experience is a plus • Account management experience is a plus • Excellent interpersonal, written communication, and oral communication skills • Problem-solving and decision-making skills • Must be able to travel 80% (4 days a week) via automobile or plane • Must have a valid driver's license with a clean driving record/MVR • Possible long periods of sitting and/or keyboard work

🏖️ Benefícios

• Competitive compensation package • Annual bonus or long-term incentive opportunities may be offered • McKesson Total Rewards benefits • Remote, work-from-home arrangement • Opportunities to grow and make an impact • Equal employment opportunities • Reasonable accommodation for job search or application

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