Job Details

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 focus on the health, happiness, and well-being of you and those we serve – we care. This position is client-facing and requires building relationships with physician offices and manufacturer representatives to effectively deliver services based on customer needs. The FRM works independently in a fast-paced environment and collaborates with internal program hub support services to meet customer needs. Travel will be required.

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 offices on payer landscape and services available through remote interaction and on-site training.

Key Responsibilities

• Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff regarding reimbursement challenges and available support services. On-site/virtual interactions average 15 per week. Activities are recorded in FRM CRM daily with weekly reporting to management.
• Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage, and patient communication streams. Monthly activity reporting captures educational topics at FRM level and trended data is reported quarterly to client.
• Provide reimbursement support on case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, and information related to co-pay and patient assistance programs. Collaborate with case managers on average 4 per month with ad hoc escalations. 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/activities are tracked in FRM CRM and reportable to management and client.
• Monitor program performance for physicians and manufacturer representatives. Territory performance is monitored via FRM CRM dashboard daily. Trending results are identified through quarterly reporting. Clients may survey customers on program performance.
• Research and compile provider/manufacturer representative information for reimbursement databases. Create facility databases on new providers in FRM CRM. All interactions/activities are built using this database.

Qualifications

• Minimum: 4-year degree in related field or equivalent experience
• 4+ years of healthcare-related reimbursement experience

Business Experience

• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy
• Experience supporting oncology products preferred
• Experience in healthcare industry including insurance verification, prior authorizations, and/or claim adjudication; experience in 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 experience

Specialized Knowledge/Skills

• Previous field experience is a plus
• Previous experience with specialty pharmacy is a plus
• Account management experience is a plus
• Excellent interpersonal, written and oral communication skills
• Problem solving and decision-making skills

Travel Requirements

Must reside in territory. Must be able to travel up to 80% (4 days a week) via automobile or plane. Must have a valid driver's license with a clean driving record/MVR.

Physical Requirements

Possible long periods of sitting and/or keyboard work. General office demands.

Compensation & Benefits

We are proud to offer a competitive compensation package as part of our Total Rewards. Pay range shown below is aligned with McKesson's pay philosophy and compliant with regulations. Base pay plus potential annual bonus or long-term incentives may be offered. For more information regarding benefits at McKesson, please refer to the benefits page.

Base pay range: $80,300 - $133,800

Equal Opportunity

McKesson is an Equal Opportunity Employer. McKesson provides equal employment opportunities to applicants and employees 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 full Equal Employment Opportunity policies, visit our EEO page.