Job Description

Overview

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 tomorrows health today, we want to hear from you.

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 available. On-site/virtual interactions will average 15 per week. 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 and is reportable to client; trending data is reported quarterly to client.
• Provide Reimbursement Support on case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, and information related to co-pay and patient assistance programs. Collaborate with case managers on average 4/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. 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 tracked via FRM CRM dashboard daily, with quarterly trend reporting. Clients may also survey customers on program performance.
• Research and compile provider/manufacturer representative specific information for reimbursement database (including account profiles). Create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.

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 supporting oncology products preferred
• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physicians 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

Travel

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.

• Knoxville, TN
• Greenville, SC
• Asheville, NC
• Atlanta, GA

Physical Requirements

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

Compensation and Benefits

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.

Base Pay Range for this position

$80,300 - $133,800

Equal Opportunity

McKesson is an Equal Opportunity Employer. McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKessons full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

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