Field Reimbursement Manager

🕒 vor 2 Tagen

🗽 New York, Massachusetts – Remote

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💵 $96.300 - $160.500 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of McKesson

McKesson

10.000+ Mitarbeiter

Gegründet 1833

💼 Beratung

📦 Logistik

🏥 Gesundheitswesen

Consulting • Logistics • Healthcare

McKesson ist ein diversifizierter Marktführer im Gesundheitswesen, der sich auf den Vertrieb von Arzneimitteln, medizinische Versorgung und Gesundheitsdienstleistungen spezialisiert hat. Ihre Lösungen erleichtern den Zugang zu lebensverändernden Therapien, unterstützen einen effizienten Betrieb von Apotheken, Gesundheitssystemen und Kliniken und gehen kritische Herausforderungen wie Arzneimittelknappheit durch eine widerstandsfähige Lieferkette an. McKesson bietet umfassende Dienstleistungen wie Apothekenmanagement-Software, Beratung und Technologielösungen für Spezialpraxen an und konzentriert sich auf die Verbesserung der Gesundheitsergebnisse und die Weiterentwicklung der Pharmaindustrie. Sie arbeiten eng mit Biopharma-Unternehmen zusammen, um den Zugang zu Medikamenten, die Therapietreue und die Vermarktung zu verbessern, während sie Onkologie- und Biopharma-Praxen durch datengestützte Einblicke und reale Evidenz unterstützen.

Beschreibung

• Manage an assigned territory supporting reimbursement and patient services for a specific drug • Assist with 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 by telephone • Provide on-site and on-demand education, including Lunch and Learns and Dinner presentations • Conduct approximately 15 on-site or virtual office interactions per week • Record activities in FRM CRM daily and report to management weekly • Educate on benefit investigation, prior authorization, Support Center Services, Medicare and commercial coverage, and patient communication streams • Provide reimbursement support for case management, billing and coding updates, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals, copay assistance, and patient assistance programs • Collaborate with case managers on approximately four cases per month and handle escalations as needed • 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 • Monitor program and territory performance through FRM CRM dashboards and quarterly reporting • Research and compile provider and manufacturer representative information for the reimbursement database • Create facility databases for new providers in FRM CRM

🎯 Anforderungen

• 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 supporting GLP-1 and Cardiology products • Healthcare industry experience, including insurance verification, prior authorizations, and/or claim adjudication • Experience with Medicare and commercial insurance coverage • Ability to deliver and document benefit investigation outcomes and relay regular status reports • Proven presentation skills and experience • Ability to handle multiple priorities with excellent organizational skills • Computer literacy, including PowerPoint and web meeting experience • Excellent interpersonal, written, and oral communication skills • Problem-solving and decision-making skills • Must reside in the assigned territory • Must be able to travel 80% (4 days a week) by automobile or plane • Must have a valid driver's license with a clean driving record/MVR

🏖️ Vorteile

• Competitive compensation package • Annual bonus opportunities • Long-term incentive opportunities • Equity may be included in compensation • Remote, work-from-home arrangement • Equal employment opportunities • Reasonable accommodation for job search or application

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