Field Reimbursement Manager

McKesson • Work at Home - Georgia, USA (WGAA), GA

1d • $80,300 - $133,800 • 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 assists with patient reimbursement challenges, including benefit investigations, prior authorizations, claims assistance, and appeals, and educates physician offices about payer landscapes and available services through remote interactions and on-site training. The position is client-facing and customer-facing, requiring relationship-building with physician offices and manufacturer representatives and the ability to tailor service delivery to customer preferences.

The FRM works independently in a fast-paced, highly visible environment and collaborates with internal program hub support services to meet customer needs. The role includes frequent telephone contact with providers and internal staff to arrange site visits, manufacturer trainings, and educational venues. It requires working knowledge of Medicare and commercial insurance plans and benefit structures. Project management or account coordination and significant travel are also part of the position.

The position is remote, work-from-home, but the employee must reside in the assigned territory and travel 80% of the time, approximately four days per week, by automobile or plane. The role may involve long periods of sitting and/or keyboard work and general office demands. McKesson lists a base pay range of $80,300–$133,800; an annual bonus or long-term incentive opportunities may also be offered. The posting describes the compensation package as including benefits but does not enumerate specific 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, claim adjudication, or experience in a physician’s office or clinic.
• Experience with Medicare and commercial insurance coverage.
• Ability to deliver and document benefit investigation outcomes and relay status reports regularly.
• Proven presentation skills and experience.
• Ability to handle multiple priorities effectively and strong organizational skills.
• 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 territory.
• Must be able to travel 80% (four days a week) by automobile or plane.
• Must have a valid driver’s license and a clean driving record/MVR.

Nice To Haves

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

Responsibilities

• Provide on-site and on-demand education to office staff about reimbursement challenges and available support services, including Lunch and Learns or dinner presentations; conduct an average of 15 on-site or virtual interactions per week and record activities in the FRM CRM daily, with weekly reporting to the manager.
• Educate offices on benefit investigations, prior authorization processes, Support Center services, Medicare and commercial coverage, and patient communication streams; track educational topics for monthly reporting and quarterly client reporting.
• 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, co-pay assistance, and patient assistance programs.
• Collaborate with case managers an average of four times per month and as needed for escalations; track interactions in the FRM CRM and hub system.
• Set up appointments and make outbound calls to targeted offices; assist with backlog casework and perform additional day-to-day in-office work.
• Interface with physicians and manufacturer representatives to obtain and provide patient- and provider-specific information.
• Track all interactions and activities in the FRM CRM for reporting to management and clients.
• Monitor physician and manufacturer representative program performance using the FRM CRM dashboard and identify trends through quarterly reporting; accommodate optional client customer surveys.
• Research and compile provider- and manufacturer representative-specific information for the reimbursement database, including account profiles, and create a facility database record for each new provider in the FRM CRM.

Benefits

• Competitive compensation package; an annual bonus or long-term incentive opportunities may be offered. The posting refers to benefits but does not list specific benefit offerings.

What This Job Offers

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