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About the Role

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. This role involves educating offices on payer landscapes and available services through remote and on-site interactions. The position requires building relationships with physician offices and manufacturer representatives, working independently, and collaborating with internal support services to meet customer needs.

Responsibilities

Provide on-site and on-demand education for office staff regarding reimbursement challenges and support services.
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage, and patient communication streams.
Provide reimbursement support on case management, billing and coding updates, claims submission, Medical Benefit Interpretation, claims and appeal assistance, and information related to co-pay and patient assistance programs.
Set up appointments and complete outbound calls to targeted offices, assist in completing backlog casework, and interface with physicians and manufacturer representatives.
Monitor program performance for physicians and manufacturer representatives in accordance with expectations.
Research and compile provider/manufacturer representative specific information for the reimbursement database, creating a facility database on each new provider.

Requirements

4-year degree in a related field or equivalent experience.
4+ years of healthcare-related reimbursement 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, 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.
Must reside in territory.
Must have a valid driver's license with a clean driving record/ MVR.

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

Location

Philadelphia, PA
Pittsburgh, PA
Buffalo, NY
Rochester, NY
Baltimore, MD

Work Type

Field-based
Travel 80%

Experience Level

4+ years of healthcare related reimbursement experience

Education Level

4-year degree in related field or equivalent experience

Salary/Compensations

$80,300 - $133,800

Benefits

Competitive compensation package
Annual bonus or long-term incentive opportunities may be offered

About the Company

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.
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.

Equal Opportunity

McKesson is an Equal Opportunity Employer.
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 job seekers with disabilities.