Field Reimbursement Manager

Job Summary 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 client‑facing position requires building relationships with physician offices and manufacturer representatives to deliver services based on customer preferences. Key Responsibilities Provide on‑site and on‑demand education (including Lunch and Learns or Dinner presentations) for office staff in regard to reimbursement challenges and support services that are available. On‑site/virtual interactions average 15 per week and are recorded in FRM CRM daily with reporting to manager weekly. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics for client expectation; data is reported quarterly to client. Provide reimbursement support on case management, billing and coding updates, appropriate claims submission, specialty pharmacy, medical benefit interpretation, claims and appeal assistance, and information related to co‑pay and patient assistance programs. Collaborate on average 4 cases per month with case managers and track interactions in FRM CRM. Set up appointments and complete outbound calls to targeted offices, assist in completing backlog casework, and perform day‑to‑day in‑office work. Interface with physicians and manufacturer representatives to obtain and provide provider‑specific information. Track all activities in FRM CRM. Monitor program performance for physicians and manufacturer representatives according to expectations. Use FRM CRM dashboard to monitor daily performance and produce quarterly trend reports. Clients may survey customers on program performance. Research and compile provider and manufacturer representative specific information for reimbursement database, including account profiles. Create a facility database for each new provider in FRM CRM. Minimum Job Qualifications 4‑year degree in related field or equivalent experience. 4+ years of healthcare‑related reimbursement experience. Business Experience Strong medical reimbursement experience with buy‑and‑bill and/or specialty pharmacy. Experience in the healthcare industry including insurance verification, prior authorizations, and/or claim adjudication in physician offices or clinics. Experience with Medicare and commercial insurance coverage. Ability to deliver and document benefit investigation outcomes and provide regular status reports. Proven presentation skills and experience. Proven ability to handle multiple priorities and 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 territory and 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. Base Pay Range $76,300 – $127,100 Equal Opportunity Employer McKesson is an Equal Opportunity Employer. The company 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 a reasonable accommodation is needed to assist with the job search or application for employment, please contact the company via email to View email address on click.appcast.io. Resumes or CVs submitted to this email box will not be accepted. #J-18808-Ljbffr