Job Description

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. 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 the office on Payer landscape and services available through both remote interaction and on-site training. Key Responsibilities: Provide on-site and on-demand education for the office staff in regard to Reimbursement challenges and support services that are available. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. Responsible for setting up appointments and completing outbound calls to targeted offices. Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Research and compile provider / manufacturer representative specific information for reimbursement database. 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 & Bill and/or Specialty Pharmacy. Experience supporting oncology products preferred Experience in the healthcare industry including, but not limited to 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 to include 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 - DC/Maryland/Philadelphia Must 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/ MVR Physical Requirements (Lifting, Standing, Etc.) – Possible long periods of sitting and/or keyboard work. General office demands. Our Base Pay Range for this position $84,300 - $140,500 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. #J-18808-Ljbffr McKesson

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