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.
The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on payer landscape and services available through both remote interaction and on‑site training. This position is client‑facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The FRM works independently in a fast‑paced, highly visible environment as well as collaboratively with internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, manufacturer training, and educational training venues. Must have a solid working knowledge of Medicare and commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. The position requires travel, project management and/or account coordination based on client expectation.
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. Interaction will count to an average of 15 per week and is 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 for client reporting; trended data is reported quarterly to client.
Offer reimbursement support on case management, billing and coding updates, appropriate claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeal assistance, copay assistance and patient assistance programs. FRM collaborates with case manager on average of four per month and ad‑hoc as needed for escalations. Interactions are tracked in FRM CRM and hub system.
Set up appointments and complete outbound calls to targeted offices. Assist in completing backlog casework and 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 and reportable to management and client.
Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance is monitored via FRM CRM dashboard daily, trends identified through quarterly reporting. Clients may also survey customers on program performance.
Research and compile provider / manufacturer representative specific information for reimbursement database (includes account profiles). FRM creates a facility database for each new provider in FRM CRM. All interactions/activities are built using this database.
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 & Bill and/or specialty pharmacy.
Experience in the healthcare industry, including insurance verification, prior authorizations, claim adjudication, physician offices 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, 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 skills.
Excellent written and oral communication skills.
Problem solving and decision‑making skills.
Travel Requirements
Looking for candidates in IL, NY, MI, FL.
Bilingual candidate needed in Miami, FL.
Must reside in territory.
Must be able to travel 80% (4 days a week) via automobile or plane.
Must have a valid driver’s license with a clean driving record/MVR.
Our Base Pay Range for this position
$76,300 – $127,100.
We are proud to offer a competitive compensation package as part of our Total Rewards. This includes base pay, potential annual bonus, and long‑term incentive opportunities. For more information regarding benefits at McKesson, please click here.
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 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 Disability_Accommodation@McKesson.com (United States) or Accessibility@mckesson.ca (Canada). Resumes or CVs submitted to this email box will not be accepted.
Join us at McKesson!
Join us at McKesson!
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