Field Reimbursement Manager

McKesson; Detroit (MI); Remote; USD 84,000 - 141,000; Full time

Benefits offered by this job

Competitive compensation

Total Rewards

Job summary

McKesson, a Fortune 10 healthcare leader, seeks a reimbursement specialist to educate office staff on benefit investigations, prior authorizations, and coverage pathways. You will manage case workflows and collaborate with physicians and manufacturers to optimize patient access.

The role emphasizes strong presentation skills, multitasking, and proficiency in PowerPoint and virtual meetings, with frequent travel in the Detroit area. Remote work options may apply in portions of the role.

Qualifications

• 4-year degree or equivalent experience.
• 4+ years of healthcare reimbursement experience.
• Experience with Buy & Bill and/or Specialty Pharmacy.
• Medicare and commercial coverage experience.
• Strong presentation skills and ability to manage multiple priorities.
• Proficient in PowerPoint and virtual meeting tools.

Responsibilities

• Provide on-site and on-demand education for office staff regarding reimbursement challenges and services.
• Educate on Benefit Investigation, Prior Authorization, and coverage options for patients.
• Assist with case management, billing updates, and claims submission workflows.
• Set up appointments and perform outbound calls to target offices; maintain FRM CRM records.
• Monitor physician and rep performance; analyze data and report trends quarterly.

Skills

Medicare knowledge

Benefit investigations

Prior authorizations

Claims adjudication

PowerPoint

Web meetings

Time management

Education

4-year degree

Tools

PowerPoint

Job description

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.

Required: Candidate must live within the Detroit, MI area.

Key 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.

Minimum Job Qualifications –

• 4-year degree in related field or equivalent experience
• 4+ years of healthcare related reimbursement experience

Business 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

Specialized Knowledge/Skills –

• Previous field experience, a plus
• Previous experience with specialty 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

Travel Requirements

Must reside in territory - Detroit, MI

Must be able to travel80%(4 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.) –

Possiblelong periodsof 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

$84,300 - $140,500

McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) [e-mail] or (Canada) [e-mail]. Resumes or CVs submitted to this email box will not be accepted.

Join us at McKesson!