Field Reimbursement Manager

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🕒 Agosto 18

⚜️ Louisiana, Missouri – Remoto

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💵 $80.300 - $133.800 / 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 physician offices with Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals • Educate office staff on payer landscapes and available services through remote interactions 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 • Educate on benefit investigation, prior authorization, support center services, Medicare and commercial coverage, and patient communication streams • Provide reimbursement support covering case management, billing and coding, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, copay assistance, and patient assistance programs • Collaborate with case managers on cases and escalations • Set appointments, complete outbound calls to targeted offices, and assist with backlog casework • Interface with physicians and manufacturer representatives to exchange patient- and provider-specific information • Track all interactions and activities in the FRM CRM and hub system • Monitor territory and program performance and report trends to management and clients • Research and compile provider and manufacturer representative information for reimbursement databases • Create facility databases for new providers in the FRM CRM • Travel extensively to support client expectations and account coordination

🎯 Requisitos

• Candidate must live within the St. Louis, MO or New Orleans, LA 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 clinic • 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 handle multiple priorities and strong organizational skills • Computer literacy, including PowerPoint and web meeting experience • Ability to travel 80% (four days per week) by automobile or plane • Valid driver's license with a clean driving record/MVR • Ability to work remotely from home and handle possible prolonged sitting or keyboard work • Previous field experience, specialty pharmacy experience, and account management experience are advantageous

🏖️ Benefícios

• Competitive compensation package • Annual bonus or long-term incentive opportunities may be offered • Benefits through McKesson’s Total Rewards program • Remote, work-from-home arrangement • Opportunities for growth and professional development • Empowerment to bring new ideas and make an impact

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