Field Reimbursement Manager

🕒 2 dias atrás

🦀 Maryland, Pennsylvania – Remoto

🦀 Maryland – Remote 🔔 Pennsylvania – Remote

💵 $80.300 - $133.800 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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McKesson

SiteLinkedInTodas as Vagas

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 focused on reimbursement and patient services for a specific drug • Assist with Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals • Educate physician offices on payer landscape and available services through remote interaction and on-site training • Build relationships with physician offices and manufacturer representatives • Provide on-site and on-demand education, including Lunch and Learns and Dinner presentations • Deliver reimbursement education and support through on-site and virtual interactions averaging 15 per week • Educate on Benefit Investigation, Prior Authorization, Support Center Services, Medicare and commercial coverage, and patient communication streams • Provide reimbursement support on case management, billing and coding updates, claims submission, Specialty Pharmacy, Medical Benefit Interpretation, medical necessity, claims and appeals, co-pay assistance, and patient assistance programs • Collaborate with case managers on average four times per month and handle escalations as needed • Set up appointments and complete outbound calls to targeted offices • Assist with backlog casework and day-to-day in-office work • Interface with physicians and manufacturer representatives to obtain and provide patient- and provider-specific information • Track interactions and activities in FRM CRM and hub systems • Monitor program and territory performance through CRM dashboards, reporting, trending, and customer surveys • Research and compile provider and manufacturer representative information for reimbursement databases • Create facility databases for new providers in FRM CRM • Travel extensively throughout the assigned territory

🎯 Requisitos

• 4-year degree in related field or equivalent experience • 4+ years of healthcare related reimbursement experience • Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy • Experience in the healthcare industry, including insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics • Medicare and commercial insurance coverage experience • Ability to deliver and document benefit investigation outcomes and relay status reports regularly • Proven presentation skills and experience • Ability to effectively handle multiple priorities and excellent organizational skills • Strong computer literacy, including PowerPoint and web meeting experience • Valid driver's license with a clean driving record/MVR • Must reside in the territory • Must be able to travel 80% (4 days a week) via automobile or plane • Excellent interpersonal skills • Excellent written and oral communication skills • Problem-solving and decision-making skills

🏖️ Benefícios

• Competitive compensation package • Annual bonus or long-term incentive opportunities may be offered • Equity may be included as part of total rewards • Equal employment opportunities • Reasonable accommodation for applicants with disabilities

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