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.
Key Responsibilities
- Provide on‑site and on‑demand education (including Lunch and Learns or Dinner presentations) for office staff regarding reimbursement challenges and support services. On‑site/virtual interactions average 15 per week and are recorded in FRM CRM daily with weekly reporting to manager.
- Educate on benefit investigation, prior authorization process, support center services, Medicare and commercial coverage, and patient communication streams. Monthly activity reporting captures educational topics at FRM level and is reported quarterly to client.
- Provide reimbursement support on case management, billing and coding updates, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, appeals, co‑pay assistance and patient assistance programs. FRM collaborates with case managers average 4 per month and tracks interactions in CRM and hub system.
- Set up appointments and make outbound calls to targeted offices, assist in completing backlog casework, and conduct in‑office work. Interface with physicians and manufacturer representatives to provide and obtain patient and provider specific information. All interactions are tracked in FRM CRM.
- Monitor program performance for physicians and manufacturer representatives. Territory performance is monitored via FRM CRM dashboard daily; trending results are identified through quarterly reporting. Clients may survey customers on program performance.
- Research and compile provider or manufacturer representative specific information for reimbursement database, including account profiles. FRM creates 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 & Bill and/or Specialty Pharmacy
- Experience supporting oncology products preferred
- Experience in the healthcare industry including insurance verification, prior authorizations, claim adjudication, physician office or clinic settings
- Must have Medicare and commercial insurance coverage experience
- Must be able to deliver and document benefit investigation outcomes and relay status reports regularly
- 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
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% of the time (4 days a week) by automobile or plane. Must have a valid driver’s license with a clean driving record/MVR.
Physical Requirements
Possible long periods of sitting and/or keyboard work. General office demands.
Compensation
Our base pay range for this position is $76,300 – $127,100.
We offer additional compensation such as annual bonus or long‑term incentive opportunities.
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 those with disabilities. Reasonable accommodations can be requested at the email addresses provided in the original description.
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