Field Reimbursement Manager

Field Reimbursement Manager

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. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and / or account coordination based on client expectation.

Key Responsibilities

• Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) 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.
• 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

Business Experience

Specialized Knowledge / Skills

Travel Requirements

Must reside in territory - Pennsylvania or New Jersey. 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.

McKesson is an equal opportunity and affirmative action employer - minorities / females / veterans / persons with disabilities.