Sr. Reimbursement Operations Manager

McKesson   •  

Scottsdale, AZ

Industry: Healthcare


5 - 7 years

Posted 83 days ago

This job is no longer available.



McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.

We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise.Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. You’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.

Join our team of leaders to begin a rewarding career.


Position Description


Contact center management for a variety of product support programs that manage client reimbursement needs. This position is responsible for the overall management of program operations and operations managers including, but not limited to, staffing, profitability, standard operating procedures, process design, process implementation and process improvements. This position is responsible for strategic direction over multiple programs.  This position will monitor client Service Level Agreements (SLA) to ensure compliance and make staffing and process changes and improvements if SLA is not being met. This position will provide supervisory guidance to direct reports and monitor performance based on job descriptions and expectations of the subordinate positions. This position will also act as a liaison between Client Services, Information Systems, Business Analysts, Quality Assurance and Training to achieve synergy of processes, training, efficiency and ultimately, customer satisfaction.


Key Responsibilities

  • Provides strategic direction for managers and supervisors to enhance customer experience, increase productivity, and positively impact margin
  • Manage Operations Managers and Supervisors, performance to be measured against job descriptions and goals
  • Maintain and monitor program revenue and Department Earnings Before Interest and Tax (EBIT)
  • Works closely with Managers and Supervisors to assure that McKesson is in compliance with all government regulatory anti-fraud and abuse statutes
  • Develop standardized policies and procedures, ensure contractual obligations and SLA’s are met, maintained, and improved where possible, and manage multiple projects along with potential new client sales opportunities
  • Effectively act as Liaison between with all internal and external customers to provide excellence in Customer Service




 Minimum Requirements
5+ years experience in project management, including 2+ years managerial experience.

Critical Skills

  • Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physician’s office or outpatient billing, pharmacy and/or pharmaceutical manufacturers
  • 2 years of healthcare and supervisory/management related experience.
  • Experience in managing larger healthcare programs with 50-100 agents
  • Understanding of Alternate Funding and Patient Assistant Programs
  • Experience with Public (Medicare/Medicaid) and/or Commercial insurance
  • Experience in program implementation, maintenance and restructure
  • Ability to analyze reimbursement specific data and prepare written reports for upper management and client communications
  • Experience meeting or exceeding multiple SLAs for the program
  • Experience in budget, staffing and profitability models
  • Strong problem solving and decision making skills
  • Ability to effectively handle multiple priorities within a changing environment

Additional Knowledge & Skills
Ability to apply Contact Center and Customer Service best practices, preferred

Previous organizational development and change management experience preferred

4-year degree or related field or equivalent experience

Physical Requirements
General Office Demands