Manager, Field Reimbursement Services @ CoverMyMeds | Jobright.ai
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CoverMyMeds · 3 hours ago

Manager, Field Reimbursement Services

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Health CareInformation Technology

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Responsibilities

Leadership of a team of field-based reimbursement specialists who are responsible for providing in-office reimbursement and patient support services in an assigned territory. Responsible for all administrative, training and performance management duties associated with team leadership. This includes weekly 1:1 meeting with FRMs, weekly FRM team meetings, and conducting monthly check – ins, quarterly performance surveys, and monthly QA audits of FRM activity.
The field-based reimbursement team is an extension of the McKesson-operated reimbursement and patient-support services operated on behalf of the Client. The role is responsible for the effective communication and partnership between the field team and their home office counterparts. This includes establishing weekly meetings with client and operations team to ensure consistency in expectations and two - way communication. Disseminating client direction across remote team, leadership of regular team teleconferences and quarterly ride-a-longs with individual team members for on-going training and development.
Responsible for providing Field Operations efficiencies and overall innovative ideas to enhance Field Reimbursement Program as a whole. Not only provide ideas but also execute on Field Operation projects. Manager is responsible for completing and execution of projects assigned.
Ensuring that all SLA and other contractual commitments are met. Responsible for team’s adherence to all applicable privacy and compliance obligations. SLAs and adherence are established in the Rules of Engagement document and vary by client. Activity is measured in FRM SFDC to ensure adherence and SLA expectations are met.
Works in tandem with Client’s Head of Reimbursement Operations ensuring the execution of Client’s strategic initiatives. Managerial oversight of day-to-day team activities and reporting of results to McKesson Client Services and key Client Contacts. Manager will partner with the Sr. Manager to establish and produce the reports that the Client will receive each month and quarter.
Manages client expectations regarding delivery of services and provides customer with proactive consultative services on process improvement, revenue generating & cost saving opportunities. These can be evaluated based on FRM SFDC reporting, operations reporting, and client satisfaction each quarter. Assists in preparation of and participates in Quarterly Business Reviews to the client on the state of their business and outlines opportunities for enhancement, growth, efficiency, etc.
Manager is responsible for FRM team Development. Partner with team members to establish a minimum of two development opportunities to assist in career path. In addition, the manager will provide ongoing training and educational opportunities that compliment Field Reimbursement role. This can include but not limited to payer education, conferences, mentorships, billing and coding and My Learning courses selected by Manager.

Qualification

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Field Reimbursement ManagementHealthcare Reimbursement KnowledgeProject ManagementAccount ManagementProcess DocumentationBudget ModelingClient Stakeholder CommunicationMicrosoft Office Suite

Required

4-year degree in related field or equivalent experience
Experience as a Field Reimbursement Team Lead
Experience in managing a field-based team, with management of a field-based reimbursement team strongly preferred.
Strong account management/client management experience, preferably in a pharmacy or healthcare related industry.
Strong experience in direct communication with pharmaceutical stakeholders.
Strong healthcare reimbursement knowledge.
Project management of healthcare, pharmacy, or clinical based projects.
Collaborative, customer focused, and able to create visible value to client and within the organization.
Ability to develop strong team relationships and bring individuals together to focus on team goals.
Proven ability to handle multiple projects toward effective solutions and according to budget and timelines.
Experience in budget modeling and forecasting.
Excellent project management and organization skills.
Detailed understanding and experience with process documentation and improvement.
Proven ability to take an opportunity, research and suggest solutions.
Experience with Microsoft Office Suite.
Excellent verbal and written communication skills.
Must be able to travel 60-80% (3-4 days a week) via automobile or plane.
Must have a valid driver's license with a clean driving record/ MVR.

Preferred

Management of a field-based reimbursement team strongly preferred.

Company

CoverMyMeds

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CoverMyMeds is a healthcare tech platform helping doctors and pharmacists complete PA and insurance coverage determination forms for drugs.

Funding

Current Stage
Late Stage
Total Funding
$5.06M
Key Investors
SaaS Capital
2017-01-25Acquired· by McKesson ($1.1B)
2014-11-05Private Equity· Undisclosed
2013-08-28Debt Financing· $4M

Leadership Team

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Sam Rajan
Principal & Co-Founder
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Chrissy Hand
SVP, Operations
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Company data provided by crunchbase
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