Cell & Gene Therapy Reimbursement Lead

McKesson; Cary (NC); Hybrid; USD 71,000 - 73,000; Full time

Job summary

McKesson, a Fortune 10 healthcare leader, seeks a Supervisor for CGT Reimbursement & Medical Benefit Operations. You will lead a team supporting cell and gene therapy reimbursement, medical benefit investigations, and provider billing, while coaching staff and driving performance.

The role is hybrid, located near Cary, NC or Ft. Worth, TX, with a target annual compensation of $71,000–$73,000 plus a 5% bonus.

Qualifications

• 3+ years of specialty pharmacy, medical benefit reimbursement, provider billing, revenue cycle, or hospital reimbursement experience.
• People leadership or supervisory experience.
• Demonstrated medical benefit and billing experience required.
• Experience in the specialty healthcare or pharmaceutical sector with understanding of healthcare continuum and relationships among manufacturers, patients, providers, and payers.
• Strong understanding of health insurance coverage and reimbursement processes, including knowledge of medical coding and billing practices.
• Familiarity with cell and gene therapies and the associated reimbursement landscape is a plus.
• Knowledge of payer policy interpretation, coding, claims adjudication, and reimbursement methodologies.
• Strong analytical, communication, and cross-functional collaboration skills.
• Knowledge of healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines.
• Excellent written and verbal communication skills with the ability to influence and build relationships across multi-business units.
• Excellent verbal and written communication skills with patients, providers, and insurers.

Responsibilities

• Lead, coach, mentor, and develop a team of reimbursement and medical benefit specialists.
• Conduct performance reviews, succession planning, employee development, and workforce planning.
• Oversee medical benefit investigations, prior authorizations, reimbursement support, and complex payer escalations.
• Partner with internal medical billing teams to ensure claims are billed accurately and compliantly.
• Consult with Contracting teams regarding LOAs and SCAs to support reimbursement and operational requirements.
• Support Accounts Receivable teams with denial management, underpayments, payer disputes, and reimbursement resolution.
• Serve as reimbursement SME for Cell and Gene Therapy and broader Biologics medical benefit programs.
• Lead process improvement initiatives and launch readiness activities for new therapies.

Skills

People leadership

Communication skills

Analytical skills

Cross-functional collaboration

Education

Bachelor degree in healthcare, business, finance, nursing, or related discipline

Tools

Microsoft Office Suite (Word, Excel, PowerPoint)

Job description

McKesson, a Fortune 10 healthcare leader, seeks a Supervisor for CGT Reimbursement & Medical Benefit Operations. You will lead a team supporting cell and gene therapy reimbursement, medical benefit investigations, and provider billing, while coaching staff and driving performance.

The role is hybrid, located near Cary, NC or Ft. Worth, TX, with a target annual compensation of $71,000–$73,000 plus a 5% bonus.