Field Reimbursement Manager

🕒 il y a 5 jours

🇺🇸 États-Unis – Télétravail

💵 $80 300 - $133 800 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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McKesson

10 000+ employés

Fondée en 1833

💼 Conseil

📦 Logistique

🏥 Santé

Consulting • Logistics • Healthcare

McKesson est un leader diversifié dans le domaine de la santé, spécialisé dans la distribution pharmaceutique, les fournitures médicales et les services de santé. Leurs solutions facilitent l'accès des patients à des thérapies révolutionnaires, soutiennent des opérations efficaces pour les pharmacies, systèmes de santé et cliniques, et répondent à des problèmes critiques tels que les pénuries de médicaments grâce à une chaîne d'approvisionnement résiliente. McKesson propose des services complets tels que des logiciels de gestion pour pharmacies, des conseils et des solutions technologiques pour les pratiques spécialisées, en mettant l'accent sur l'amélioration des résultats de santé et le progrès de l'industrie pharmaceutique. Ils travaillent en étroite collaboration avec des entreprises biopharmaceutiques pour améliorer l'accès aux médicaments, l'adhésion et la commercialisation tout en soutenant les pratiques en oncologie et biopharma grâce à des analyses basées sur des données et des preuves du monde réel.

Description

• 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 offices 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 • Deliver reimbursement support involving case management, billing and coding updates, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, appeals, and assistance programs • Set 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 regarding patient- and provider-specific information • Monitor territory and program performance through FRM CRM dashboards and quarterly reporting • Research and compile provider and manufacturer representative information for reimbursement databases • Create facility databases for new providers in FRM CRM • Record interactions and activities in FRM CRM and report to management and clients

🎯 Exigences

• 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 with insurance verification, prior authorizations, claim adjudication, physician’s offices, 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 handle multiple priorities and 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% (four days a week) by automobile or plane • Must have a valid driver's license with a clean driving record/MVR

🏖️ Avantages

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

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