McKesson

Field Riemburement Manager-Hemo

McKesson • $76K — $127K *
US-AnywhereRemote in Indiana, US
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 4-year degree in a related field or equivalent experience
  • 5+ years of healthcare reimbursement experience
  • Strong experience with Buy & Bill, Retail, or Specialty Pharmacy
  • Field Reimbursement experience preferred
  • Experience with Medicare and commercial insurance coverage
  • Proven customer service and problem resolution skills
  • Excellent organizational and communication skills

Responsibilities

  • Provide on-site and virtual education on reimbursement challenges
  • Educate on Benefit Investigation and Prior Authorization processes
  • Deliver reimbursement support and claims submission guidance
  • Set up appointments and complete calls to provider offices
  • Monitor program performance via CRM dashboards
  • Research and compile provider-specific reimbursement information

Benefits

  • Flexible working arrangements including remote work
  • Opportunity for significant travel (60%) within territory
  • Access to continuous education and training resources
  • Collaborative environment within a healthcare-focused team
  • Comprehensive medical, dental, and vision insurance options
  • Retirement savings plan options with company matching programs
Full Job Description
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1. Provide on-site and on-demand education for the office staff in regard to reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site Face to Face interactions will average 5 interactions per day x 3

days per week. Virtual Interactions will average 5 interactions per day x 2 days per week. These activities are recorded in FRM CRM daily with reporting to manager and client weekly.

35

2. 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 reportable to client based on client expectation. This trended data is also reported quarterly regularly to client.

20

3. Reimbursement support, account management, billing and coding updates, appropriate claims submission, Retail Pharmacy/Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance programs. FRM will collaborate with multiple stakeholders ensuring all parties are aligned to resolutions and outcomes.

20

4. Responsible for setting up appointments and completing virtual and/or outbound calls to provider offices. Additional day-to-day in-office work. Interface with physicians to obtain and provide patient and payer specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client.

10

5. Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through regular reporting. Additionally, clients have the option to survey customers on program performance.

10

6. Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles) FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.

5

100%

Minimum Job Qualifications (Knowledge, Skills, & Abilities):

Education/Training -

4-year degree in related field or equivalent experience.

Business Experience -

Field Reimbursement experience preferred

HCP facing field experience (i.e. Field Reimbursement, sales, market access) highly preferred
Entry-level experience in project management
Minimum of 5 years healthcare related reimbursement experience with a balance on the HCP facing experience
Strong experience with Buy & Bill, Retail, and/or Specialty Pharmacy

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 speak to benefit investigation outcomes and relay status reports on a regular basis.
Strong customer service and problem resolution experience
Proven presentation skills and experience
Ability to effectively handle multiple priorities within a changing environment.
Excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience

Specialized Knowledge/Skills -

Previous field experience, a plus

Previous experience with retail pharmacy a plus
Account management experience, a plus
Excellent Interpersonal skills.
Excellent written and oral communication skills
Problem solving and decision-making skills

Working Conditions:

General Office Demands - Remote, WFH when not traveling

Travel Requirements

Must reside in territory
Must be able to travel 60% (3 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.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$76,300 - $127,100

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:

McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.

McKesson job postings are posted on our career site: careers.mckesson.com.

About McKesson

McKesson Corporation provides medicines, pharmaceutical supplies, information and care management products and services across the healthcare industry. The Company operates in two segments. The McKesson Distribution Solutions segment delivers ethical drugs, medical-surgical supplies and equipment and health and beauty care products throughout North America. This segment also provides specialty pharmaceutical solutions for biotech and pharmaceutical manufacturers, sells financial, operational and clinical solutions for pharmacies (retail, hospital, long-term care) and provides consulting, outsourcing and other services. The McKesson Technology Solutions segment delivers enterprise-wide clinical, patient care, financial, supply chain, strategic management and software solutions. In July 2011, the Company acquired Portico Systems from Safeguard Scientifics, Inc. On March 25, 2012, it acquired the independent banner and franchise businesses of Katz Group Canada Inc. McKesson Distribution Solutions delivers pharmaceuticals to retail pharmacies and institutional providers like hospitals and health systems. They operate pharmaceutical distribution centers across the country, serving customers in all 50 states. They also deliver a comprehensive offering of health care products, technology, equipment and related services to the alternate site market, including physician offices, surgery centers, long-term care facilities and home care businesses across the country. McKesson is currently the largest pharmaceutical distributor in North America. McKesson also operates McKesson Canada and has an equity holding in Nadro, a leading distributor in Mexico.

McKesson Careers

Join McKesson, a leading global healthcare company, and be part of a team that is redefining the future of healthcare. With a variety of job opportunities available, McKesson is the perfect place to advance your career, whether you're a seasoned professional or just starting out. Work You’ll Do At McKesson, we are committed to improving care in every setting—one product, one partner, one patient at a time. We’re seeking talented professionals to join our team and contribute to a culture of innovation, diversity, and leadership. Our employees are driven by a deep sense of purpose and a desire for continuous growth and improvement. Empower Your Future in Healthcare With positions ranging from internships to leadership roles, McKesson offers unparalleled employment opportunities to develop your skills and advance your career. Our commitment to diversity training ensures that all team members have the opportunity to thrive. Join a team where your skills will be honed, your professional growth will be supported, and where you can genuinely see the difference you make in the lives of patients around the world. Innovative Work Environment McKesson is at the forefront of healthcare innovation. Our team is constantly exploring new ways to improve patient outcomes and streamline care processes. This commitment to innovation is what sets us apart and what makes McKesson an exciting place to work. Career Development and Benefits McKesson believes in nurturing the potential of its employees through robust career development programs and comprehensive benefits designed to support your life and well-being. From leadership training to health and wellness benefits, we ensure our team members are equipped to meet their professional and personal goals. Explore Job Opportunities Whether you’re looking for an internship to kickstart your career, or a senior position to utilize your extensive experience, McKesson offers a range of opportunities. Explore our open positions and find where you can make a difference at McKesson. Stay Connected Join Our Team Search for open positions that match your skills and interests. We are looking for passionate, curious, and solution-driven team players who are ready to take the next step in their careers. Keep Up to Date Stay ahead with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work here. Networking and Professional Growth At McKesson, networking and professional growth are part of our everyday environment. We encourage our employees to connect, share, and learn from each other to foster personal and professional development. Job Alert Emails Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await you at McKesson. Join McKesson today and be part of a team that is dedicated to shaping the future of healthcare.
Learn more about McKesson
Size
58,000 employees
Market Cap
$53.7 billion
Industry
Net Income
-$4.1 billion
Founded
1833
5 Year Trend
+5.9%
Revenue
$237.6 billion
NASDAQ

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