Field Reimbursement Manager

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

📋 Description

• Oversee a designated territory to provide support for reimbursement and patient services related to a specific medication.

• Address patient reimbursement obstacles, including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals.

• Inform physician offices about payer landscapes and available services through both remote interactions and on-site training sessions.

• Cultivate relationships with physician offices and representatives from manufacturers.

• Work in tandem with internal program hub support services to fulfill customer requirements.

• Organize site visits, manufacturer training sessions, and venues for educational training.

• Deliver on-site and on-demand education, including Lunch and Learn sessions and Dinner presentations.

• Provide reimbursement support that encompasses case management, billing and coding updates, claims submission, specialty pharmacy navigation, medical benefit interpretation, medical necessity assessments, claims and appeals processes, and assistance programs.

• Schedule appointments and conduct outbound calls to targeted offices.

• Aid in managing backlog casework and other daily in-office tasks.

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

• Document all interactions and activities in FRM CRM and hub systems, ensuring regular management and client reporting.

• Assess territory and program performance utilizing CRM dashboards and quarterly trend reports.

• Gather and compile provider and manufacturer representative information for reimbursement databases.

• Establish facility databases for new providers within FRM CRM.

⛳️ Requirements

• Candidate must reside in the NYC, NY area.

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

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

• Strong background in medical reimbursement with Buy & Bill and/or Specialty Pharmacy.

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

• Familiarity with working in a physician’s office or clinics.

• Knowledge of Medicare and commercial insurance coverage.

• Ability to communicate and document benefit investigation results, along with providing regular status updates.

• Demonstrated presentation skills and experience.

• Capability to manage multiple priorities efficiently.

• Exceptional organizational skills.

• Strong computer proficiency, including experience with PowerPoint and web meetings.

• Previous field experience is advantageous.

• Prior specialty pharmacy experience is beneficial.

• Account management experience is a plus.

• Outstanding interpersonal, written, and oral communication abilities.

• Strong problem-solving and decision-making capabilities.

• Must be willing to travel 80% of the time (4 days a week) via automobile or plane.

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

• Potential for prolonged periods of sitting and/or keyboard work.

🏝️ Benefits

• Competitive compensation package.

• Opportunities for annual bonuses or long-term incentives.

• Access to McKesson Total Rewards benefits.

• Flexible remote work-from-home arrangement.

• Opportunities for professional growth and to make an impact.

• Commitment to equal employment opportunities.

• Reasonable accommodations provided for job search or application processes.