Field Reimbursement Manager

McKesson; Virginia (MN); On-site; USD 80,300 - 133,800; Full time

Job summary

McKesson Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on reimbursement and patient services for a specific drug. The role provides assistance with benefit investigation, prior authorization, claims assistance, and appeals, and educates the office on payer landscape and available services through remote interaction and on-site training.

Client-facing and customer-facing duties include building relationships with physician offices and manufacturer

Qualifications

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

Responsibilities

• Provide on-site and remote education for office staff on reimbursement challenges and support services.
• Educate on benefit investigation, prior authorizations, and Medicare/commercial coverage; submit reports.
• Support case management, billing updates, claims submission, and patient assistance programs.
• Set appointments, conduct calls to offices, and document interactions in the FRM CRM.
• Monitor program performance and report trends; travel to cover territory as needed.
• Build provider and manufacturer data for the reimbursement database.

Skills

Healthcare reimbursement experience

Oncology product experience

Presentation skills

Multi-tasking

PowerPoint

Web meetings

Territory travel readiness

Education

Bachelor's degree or equivalent

Tools

PowerPoint

CRM software

Job description

Field Reimbursement Manager (FRM)

Responsible for managing an assigned territory focused on supporting reimbursement and patient services for a specific drug. The role provides assistance with benefit investigation, prior authorization, claims assistance, and appeals, and educates the office on payer landscape and available services through remote interaction and on-site training. Client-facing and customer-facing duties include building relationships with physician offices and manufacturer representatives to deliver services based on customer preferences.

Key Responsibilities

• Provide on-site and on-demand education (including Lunch & Learns and Dinner presentations) for office staff regarding reimbursement challenges and available support services. Attend approximately 15 on-site/virtual interactions per week and record activities in the FRM CRM. Report weekly to the manager.
• Educate on benefit investigation, prior authorization processes, support center services, Medicare and commercial coverage, and patient communication streams. Submit monthly activity reports and trend quarterly data for the client.
• Support case management, billing and coding updates, appropriate claims submission, specialty pharmacy, medical benefit interpretation, claims and appeal assistance, and patient assistance programs. Collaborate with case managers averaging 4 interactions per month and track all assistance in the FRM CRM and hub system.
• Set appointments and complete outbound calls to targeted offices; complete backlog casework and day‑to‑day in‑office duties. Interface with physicians and manufacturer representatives to obtain and provide patient and provider information. Record all interactions in the FRM CRM.
• Monitor program performance for physicians and manufacturer representatives. Track daily performance via the FRM CRM dashboard and identify trends for quarterly reporting. Clients may also survey customers on program performance.
• Research and compile provider and manufacturer representative specific information for the reimbursement database. Create a facility database in the FRM CRM for each new provider.

Minimum Job Qualifications

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

Business Experience

• Strong medical reimbursement experience with buy‑and‑bill and/or specialty pharmacy
• Experience supporting oncology products preferred
• Experience in the healthcare industry, including insurance verification, prior authorizations, claim adjudication, or physician office/clinic settings
• Experience with Medicare and commercial insurance coverage
• Ability to deliver and document benefit investigation outcomes and provide regular status reports
• Proven presentation skills and experience
• Proven ability to handle multiple priorities and excellent organizational skills
• Strong computer literacy, including 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, written, and oral communication skills
• Problem‑solving and decision‑making skills

Travel Requirements

• Must reside in the territory and be able to travel 80% of the time (approximately four days a week) via automobile or plane.
• Must have a valid driver’s license with a clean driving record/MVR.

Physical Requirements

Possible long periods of sitting and/or keyboard work. General office demands.

Compensation

Competitive total rewards package, including base pay, bonus, and long‑term incentive opportunities. Base pay range: $80,300 – $133,800.

Equal Employment Opportunity

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. McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers, including those 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 [e-mail] (United States) or [e-mail] (Canada). Resumes or CVs submitted to this email box will not be accepted.