Field Reimbursement Manager

🔥 14 hours ago

🌽 Illinois, Michigan – Remote

🌽 Illinois – Remote 🚗 Michigan – Remote

💵 $88.3k - $147.1k / 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 supporting 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 • 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 or Dinner presentations • Provide reimbursement education and support through on-site and virtual interactions averaging 15 per week • Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage, and patient communication streams • Support case management, billing and coding updates, claims submission, Specialty Pharmacy, Medical Benefit Interpretation, medical necessity, claims and appeal assistance, co-pay assistance, and patient assistance programs • Collaborate with case managers on average 4 times per month and as needed for escalations • Set appointments and complete outbound calls to targeted offices • Assist with backlog casework and additional day-to-day in-office work • Interface with physicians and manufacturer representatives to exchange patient- and provider-specific information • Track interactions and activities in FRM CRM and hub systems for management and client reporting • Monitor program performance using FRM CRM dashboards and quarterly reporting • Research and compile provider/manufacturer representative information for the reimbursement database • Create a facility database for each new provider in FRM CRM

🎯 Requirements

• Candidate must live within the Chicago, IL and Detroit, MI area • 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 • Must have Medicare and commercial insurance coverage experience • Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis • Proven presentation skills and experience • Proven ability to effectively handle multiple priorities and excellent organizational skills • Strong computer literacy, including PowerPoint and Web Meeting experience • Previous field experience, a plus • Previous experience with specialty pharmacy, a plus • Account management experience, a plus • Excellent interpersonal skills • Excellent written and oral communication skills • Problem solving and decision-making skills • Must reside in territory: Chicago, IL and Detroit, MI • Must be able to travel 80% (4 days a week) via automobile or plane • Must have a valid driver's license with a clean driving record/MVR

🏖️ Benefits

• Competitive compensation package • Annual bonus may be offered • Long-term incentive opportunities may be offered • Total Rewards package • Equal employment opportunities • Reasonable accommodation for job search or application