McKesson · 18 hours ago
Field Reimbursement Manager
Missouri, United States
Full-time
Hybrid
Mid, Senior Level
$80K/yr - $134K/yr
4+ years expMcKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. The Field Reimbursement Manager is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges and educating physician offices on the Payer landscape.
BiopharmaBiotechnologyHealth CareInformation TechnologyPharmaceutical
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. Office interaction will include education and reimbursement support. On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly
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 to client
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. FRM will collaborate with case manager on average of 4/month and ad hoc as needed for escalations. These interactions are tracked in FRM CRM and hub system
Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework. Additional day-to-day in-office work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client
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 quarterly reporting. Additionally, clients have the option to survey customers on program performance
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
Qualification
Required
4-year degree in related field or equivalent experience
4+ years of healthcare related reimbursement experience
Strong medical reimbursement experience with Buy & Bill 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 deliver and document benefit investigation outcomes and relay status reports on a regular basis
Proven presentation skills and experience
Proven ability to effectively handle multiple priorities and excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience
Excellent Interpersonal skills
Excellent written and oral communication skills
Problem solving and decision-making skills
Must reside in territory
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
Possible long periods of sitting and/or keyboard work. General office demands
Preferred
Experience supporting oncology products preferred
Previous field experience, a plus
Previous experience with specialty pharmacy a plus
Account management experience, a plus
Benefits
Annual bonus
Long-term incentive opportunities
Company
McKesson
McKesson distributes medical supplies, information technology, and care management products and services.
10001+ employees
H1B Sponsorship
McKesson has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (149)
2024 (129)
2023 (82)
2022 (142)
2021 (144)
2020 (154)
Funding
Current Stage
Public CompanyTotal Funding
unknown1994-11-18IPO
Leadership Team
Brian Tyler
CEO
Jim McAuliffe
CFO
Recent News
2026-01-06
2026-01-03
Seattle TechFlash
2025-12-22
Company data provided by crunchbase