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Company

Original Job Post

McKesson · 5 days ago

Sr. Payer Specialist

Irving, TX

Full-time

Onsite

Senior Level

$103K/yr - $171K/yr

6+ years exp

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H1B Sponsorship

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Responsibilities

Pharmacy & Dispensary Accreditation and continuous improvement • Ability to guide practices through URAC, ACHC, and other accreditations

Assists practices with integration and maintenance of accreditation requirements

Assists practices with operation of continuous improvement programs

Contracting Support • Assists practices with development of payer contracting strategies to optimize network access and reimbursement

Guides practices through contract negotiations

Patient Access Strategies • Advises practices on how to build patient advocacy

Helps practices build plan sponsor engagement strategies

Assists practices with building long-range contracting strategies

Qualification

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Pharmacy contractingQuality improvementRegulatory compliancePayer compliancePerformance improvementPharmacy systemsPharmacy workflowPharmacy claims adjudicationClaim rejectionsIssue resolutionMicrosoft Office skillsRelationship buildingProblem solvingCustomer serviceURACACHC Pharmacy AccreditationPractice ConsultingSpecialty PharmacyCommunity OncologyProvider ConsultingPBM Audit TargetingAudit Risk MitigationOral Oncology Segment

Required

6+ years pharmacy contracting, pharmacy quality improvement, and/or pharmacy regulatory and payer compliance

Strong experience developing internal and external relationships/partnerships

Demonstrated experience in developing performance improvement plans

Knowledge of pharmacy, pharmacy systems, and pharmacy workflow

Experience with pharmacy claims adjudication, claim rejections and associated resolutions

Effectively manage customer expectations in terms of service and issue resolution

Strong Microsoft Office skills

4-year Undergraduate College Degree or equivalent experience

Preferred

Experience with URAC or ACHC pharmacy accreditation

Experience in practice consulting

Specialty Pharmacy experience a plus

Community Oncology experience a plus

Experience in provider consulting a plus

Knowledge of PBM audit targeting and audit risk mitigation a plus

Develop a proficiency in oral oncology segment and technology (product, application, platform)

Benefits

Annual bonus

Long-term incentive opportunities

Company

McKesson

Glassdoor

3.7

McKesson distributes medical supplies, information technology, and care management products and services.

Founded in 1833

Irving, Texas, USA

10,001+ employees

http://www.mckesson.com

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

Trends of Total Sponsorships

2023 (57)

2022 (127)

2021 (151)

2020 (142)