Field Riemburement Manager-Hemo

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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

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