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Field Reimbursement Manager

$76.3k - $127.1k

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. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you. Field Reimbursement Manager The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services for a specific drug. The role includes Benefit Investigation, Prior Authorization, Claims Assistance, Appeals, and education on the payer landscape through remote interaction and on‑site training. The position is client‑facing and requires building relationships with physician offices and manufacturer representatives. The FRM works independently in a fast‑paced, highly visible environment and collaborates with internal program hub support services to ensure all customer needs are met. Key Responsibilities Provide on‑site and on‑demand education (including lunch and lunch presentations) for office staff regarding reimbursement challenges and available support services. On‑site or virtual interactions average 15 per week and are recorded in FRM CRM with weekly reporting to the manager. 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 the FRM level and is delivered to the client; quarterly trends are also reported. Support case management, billing and coding updates, appropriate claim submission, specialty pharmacy, medical benefit interpretation, and claim appeal assistance. The FRM collaborates with case managers an average of four times a month and on an ad‑hoc basis for escalations; all interactions are tracked in FRM CRM and the hub system. Set up appointments, make outbound calls to targeted offices, assist with backlog casework, and complete day‑to‑day in‑office tasks. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information; all activities are tracked in FRM CRM. Monitor program performance for physicians and manufacturer representatives against expectations. Territory performance is monitored daily via the FRM CRM dashboard, trending results are identified quarterly, and clients may survey customers on program performance. Research and compile provider or manufacturer representative specific information for the reimbursement database. The FRM creates a facility database for each new provider in FRM CRM; all interactions build upon this database. Minimum Job Qualifications 4‑year degree in a 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 the healthcare industry including insurance verification, prior authorizations, and/or claim adjudication in physician’s office or clinic settings. Must have Medicare and commercial insurance coverage experience. Must be able to deliver and document benefit investigation outcomes and relay status reports regularly. Proven presentation skills and experience. Proven ability to handle multiple priorities and maintain excellent organizational skills. Strong computer literacy, including PowerPoint and web‑meeting experience. Specialized Knowledge/Skills 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. Travel Requirements Must reside in the territory. Must be able to travel 80% (four 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 Base pay range: $76,300 - $127,100. Equal Employment Opportunity McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. McKesson is committed to being an equal employment opportunity employer and offers opportunities to all job seekers, including those with disabilities. If you require a reasonable accommodation, please contact us by email: View email address on click.appcast.io (United States) or View email address on click.appcast.io (Canada). Resumes or CVs submitted to this email address will not be accepted. #J-18808-Ljbffr McKesson

Vacancy posted 4 days ago
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