Field Reimbursement manager
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Field Reimbursement ManagerApply remote type: Remote - Field Based; locations: USA, VA, Remote; time type: Full time; posted on: Posted 7 Days Ago; job requisition id: JR0134455

McKesson is a Fortune 10 company impacting healthcare by delivering insights, products, and services that make quality care more accessible and affordable. We focus on the health, happiness, and well-being of our employees and those we serve. We foster a culture of growth, impact, and innovation, shaping the future of health today.

The Field Reimbursement Manager (FRM) manages an assigned territory supporting reimbursement and patient services, including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals. This role involves educating offices on Payer landscapes through remote and on-site training, building relationships with providers and manufacturer reps, and working independently in a fast-paced environment. The position requires knowledge of Medicare and Commercial insurance plans, travel, project management, and account coordination.

Key Responsibilities:

• Provide education on reimbursement challenges and support services through on-site and virtual sessions, with activities tracked in CRM.
• Educate on Benefit Investigation, Prior Authorization, Medicare and Commercial coverage, and patient communication. Report activities monthly and quarterly.
• Support case management, billing, coding, claims, and patient assistance programs, collaborating with case managers as needed.
• Set up appointments, make outbound calls, assist with backlog casework, and interface with providers and manufacturer reps.
• Monitor program performance via CRM dashboards and reports, including customer surveys.
• Research and maintain provider and manufacturer information in reimbursement databases.

Minimum Qualifications:

• 4-year degree or equivalent experience
• 4+ years healthcare reimbursement experience

Business Experience:

• Experience with Buy & Bill or Specialty Pharmacy, oncology products preferred
• Insurance verification, prior authorizations, claim adjudication experience
• Medicare and commercial insurance knowledge
• Proven presentation and organizational skills
• Proficiency in PowerPoint and Web Meetings

Skills:

• Previous field and specialty pharmacy experience a plus
• Account management, interpersonal, communication, problem-solving skills

Travel Requirements:

Must reside in territory; able to travel 80% via automobile or plane; valid driver's license required.

Physical Requirements:

Long periods of sitting and keyboard work; general office demands.

We offer a competitive compensation package, including base pay ($80,300 - $133,800), bonuses, and benefits. Pay is based on performance, experience, skills, and market factors. For more benefits information, click here.

Equal Opportunity Employer

McKesson is committed to diversity and inclusion. We provide equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability, age, or genetic information. For details, visit our EEO policy page.

Join us at McKesson!

About Us

CoverMyMeds, part of McKesson, is a healthcare technology leader helping patients access medications. We are recognized as a great place to work, offering growth opportunities, benefits, and a supportive environment.

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