Field Reimbursement Manager

McKesson • Work at Home - Massachusetts, USA (WMAA), MA

3d • $92,300 - $153,900 • Remote

About The Position

The CoverMyMeds Field Reimbursement Manager (FRM) manages an assigned territory and supports reimbursement and patient services for a specific drug. The role helps address patient reimbursement challenges, including benefit investigation, prior authorization, claims assistance, and appeals, and educates physician offices about payer landscapes and available services through remote interactions and on-site training.

This client- and customer-facing position requires building relationships with physician offices and manufacturer representatives, working independently in a fast-paced, visible environment, and collaborating with internal program hub support services. The FRM frequently communicates by telephone with providers and internal staff to arrange site visits, manufacturer trainings, and educational venues. The role requires working knowledge of Medicare and commercial insurance plans and benefit structures, and involves travel, project management, and/or account coordination based on client expectations.

The role is remote, work-from-home, with residence in the assigned territory and travel of up to 80% (four days per week) by automobile or plane. The position may involve long periods of sitting and/or keyboard work. McKesson lists a base pay range of $92,300–$153,900; additional compensation, such as an annual bonus or long-term incentive opportunities, may be offered. The posting refers applicants to McKesson for information about benefits but does not specify particular benefits.

Requirements

• Four-year degree in a related field or equivalent experience.
• At least 4 years of healthcare-related reimbursement experience.
• Strong medical reimbursement experience with Buy & Bill and/or specialty pharmacy.
• Healthcare industry experience, including insurance verification, prior authorizations, claims adjudication, or work in a physician’s office or clinic.
• 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.
• Ability to handle multiple priorities effectively and strong organizational skills.
• Strong computer literacy, including PowerPoint and web meeting experience.
• Excellent interpersonal skills.
• Excellent written and oral communication skills.
• Problem-solving and decision-making skills.
• Must reside in the assigned territory.
• Ability to travel 80% (four days per week) by automobile or plane.
• Valid driver’s license and clean driving record/MVR.

Nice To Haves

• Previous field experience.
• Previous specialty pharmacy experience.
• Account management experience.

Responsibilities

• Provide on-site and on-demand education, including Lunch and Learns or Dinner presentations, about reimbursement challenges and available support services; average 15 on-site or virtual interactions per week and record activities in the FRM CRM daily, with weekly reporting to the manager.
• Educate office staff on benefit investigation, prior authorization processes, Support Center services, Medicare and commercial coverage, and patient communication streams; report educational topics monthly and provide trend data quarterly to clients as expected.
• Provide reimbursement support related to case management, billing and coding updates, appropriate claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals assistance, copay assistance, and patient assistance programs.
• Collaborate with case managers, averaging four interactions per month and handling additional interactions as needed for escalations; track interactions in the FRM CRM and hub system.
• Set up appointments and complete outbound calls to targeted offices; assist with backlog casework and other day-to-day in-office work.
• Interface with physicians and manufacturer representatives to obtain and provide patient- and provider-specific information.
• Track all FRM interactions and activities in the FRM CRM for reporting to management and clients.
• Monitor physician and manufacturer representative program performance against expectations, review territory performance through the FRM CRM dashboard daily, and identify trends for quarterly reporting; support client customer surveys when used.
• Research and compile provider- and manufacturer representative-specific reimbursement information, including account profiles, and create a facility database for each new provider in the FRM CRM.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level