Job Description

Overview Join to apply for the Field Reimbursement Manager role at McKesson . McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on payer landscape and services available through both remote interaction and on-site training. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. FRM works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation. Responsibilities Provide on-site and on-demand education for office staff regarding reimbursement challenges and available support services. On-site/virtual interactions will average 15 per week; activities are recorded in FRM CRM and reported to management weekly. Educate on Benefit Investigation, Prior Authorization, Support Center Services, Medicare and Commercial coverage, and patient communication streams. Monthly activity reporting captures educational topics and is reported to the client; quarterly trend data is provided to the client. Reimbursement support on case management, billing and coding updates, claims submission, Specialty Pharmacy, medical benefit interpretation, medical necessity, claims and appeal assistance, and information related to co-pay and patient assistance programs. Collaborate with case manager on average 4 per month and ad hoc escalations. All interactions are tracked in FRM CRM and hub system. Set up appointments and complete outbound calls to targeted offices. Assist in backlog casework. Interface with physicians and manufacturer representatives to obtain and provide patient and provider information. All FRM interactions are tracked in FRM CRM and reported to management and client. Monitor program performance for physicians and manufacturer representatives. Territory performance is monitored via FRM CRM dashboard daily; quarterly reporting identifies trends; clients may survey customers on program performance. Research and compile provider/manufacturer-specific information for reimbursement database (including account profiles). Create facility database in FRM CRM and build interactions on this database. Qualifications Minimum : 4-year degree in related field or equivalent experience 4+ years of healthcare-related reimbursement experience Experience and Skills Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy Experience supporting oncology products preferred Experience in the healthcare industry including insurance verification, prior authorizations, and/or claim adjudication, physician offices or clinics Must have Medicare and commercial insurance coverage experience Ability to deliver and document benefit investigation outcomes and provide status reports regularly Proven presentation skills and ability to handle multiple priorities with strong organizational skills Strong computer literacy including PowerPoint and web meeting tools Excellent interpersonal, written and oral communication, and problem-solving skills Travel Must reside in the territory and be able to travel up to 80% (approximately 4 days a week) by automobile or plane. Must have a valid driver’s license with a clean driving record/MVR. Knoxville, TN Greenville, SC Asheville, NC Atlanta, GA Compensation and Benefits Base pay range: $80,300 - $133,800. In addition to base pay, other compensation such as annual bonus or long-term incentive opportunities may be offered. This is determined by factors including performance, experience, skills, equity, and geographical market considerations. We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. For more information regarding benefits at McKesson, please click here. Equal Employment Opportunity McKesson is an Equal Opportunity Employer and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s Equal Employment Opportunity policies, visit our EEO page. Join us at McKesson! #J-18808-Ljbffr McKesson

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