Field Reimbursement Manager

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Oversee a designated territory to assist with reimbursement and patient services for a particular medication.

• Support Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals processes.

• Provide education to physician offices regarding payer landscapes and available services through virtual interactions and in-person training sessions.

• Foster relationships with physician offices and manufacturer representatives.

• Offer on-site and as-needed educational sessions, such as Lunch and Learns and Dinner presentations.

• Supply reimbursement support that includes case management, updates on billing and coding, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals assistance, co-pay support, and patient assistance programs.

• Schedule appointments and conduct outbound calls to targeted offices.

• Assist with backlog casework and daily in-office responsibilities.

• Collaborate with physicians and manufacturer representatives to share patient- and provider-specific information.

• Document interactions and activities within the FRM CRM and hub system.

• Monitor territory and program performance using CRM dashboards and reports.

• Research and compile information regarding providers and manufacturer representatives for the reimbursement database.

• Establish facility databases for new providers in the FRM CRM.

• Work in partnership with internal program hub support services and case managers.

⛳️ Requirements

• Bachelor's degree in a relevant field or equivalent experience.

• Over 4 years of experience in healthcare-related reimbursement.

• Extensive medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.

• Background in the healthcare industry, including insurance verification, prior authorizations, and/or claims adjudication.

• Experience with Medicare and commercial insurance coverage.

• Capability to deliver and document benefit investigation results and provide regular status updates.

• Demonstrated presentation skills and experience.

• Ability to manage multiple priorities while showcasing excellent organizational skills.

• Proficiency in computer applications, including PowerPoint and virtual meeting tools.

• Previous field experience is advantageous.

• Prior experience in specialty pharmacy is a plus.

• Experience in account management is beneficial.

• Exceptional interpersonal, written, and verbal communication skills.

• Strong problem-solving and decision-making abilities.

• Must reside within the assigned territory.

• Willingness to travel 80% of the time (4 days a week) by car or plane.

• Must possess a valid driver's license with a clean driving record/MVR.

🏝️ Benefits

• Competitive compensation package.

• Opportunities for annual bonuses or long-term incentives may be available.

• Equity may be included as part of the total rewards package.

• Benefits information is provided through McKesson's Total Rewards program.

• Flexible remote work-from-home arrangement.