Field Reimbursement Manager

🔥 1 minute ago

🦀 Maryland, Pennsylvania – Remote

🦀 Maryland – Remote 🔔 Pennsylvania – Remote

💵 $80.3k - $133.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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McKesson

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1833

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

McKesson is a diversified healthcare leader specializing in pharmaceutical distribution, medical supplies, and healthcare services. Their solutions facilitate patients' access to life-changing therapies, support efficient operations for pharmacies, health systems, and clinics, and address critical issues such as drug shortages through a resilient supply chain. McKesson provides comprehensive services such as pharmacy management software, consulting, and technology solutions for specialty practices, focusing on improving health outcomes and advancing the pharmaceutical industry. They work closely with biopharma companies to enhance medication access, adherence, and commercialization while supporting oncology and biopharma practices through data-driven insights and real-world evidence.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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