Field Reimbursement Manager

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $80.3k - $133.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Logo of McKesson

McKesson

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 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

🎯 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 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

🏖️ Benefits

• 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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