Manager, Patient Access & Reimbursement Operations

McKesson • Cary, NC

10d • Hybrid

About The Position

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 tomorrow’s health today, we want to hear from you. Biologics by McKesson Mission At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes — one patient, one partner, one therapy at time. The Manager, Patient Access & Reimbursement Operations will lead a team responsible for specialty pharmacy patient access, reimbursement execution, and affordability programs supporting rare disease and high-cost therapies. You’ll own the end-to-end referral-to-therapy process, including benefit verification, prior authorizations, appeals, pharmacy coordination, and patient assistance programs while driving daily operations, team performance, and workflow optimization.

Requirements

• Degree or equivalent experience.
• Typically requires 6+ years of professional experience and 0-2 years of supervisory experience.
• Reimbursement experience including, benefit verification, prior authorizations, appeals patient affordability / PAP programs
• Demonstrated ability to coach teams through complex reimbursement and access scenarios with direct ownership of daily workflow, escalations, and performance
• Experience analyzing operational and financial performance data
• Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint

Nice To Haves

• Rare disease, oncology, or ultra-high-cost therapy programs
• Experience working with manufacturers and specialty pharmacies
• Workflow standardization across multi-site operations
• Exposure to Lean, Six Sigma, or continuous improvement methodologies
• Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.

Responsibilities

• Lead and develop a team supporting patient access, reimbursement, and affordability programs
• Oversee daily workflows, staffing, training, performance, and escalations
• Provide direct oversight of reimbursement workflows (benefits, PAs, appeals, PAP)
• Serve as the primary escalation point for complex access and claim issues
• Optimize referral-to-approval workflows to reduce time to therapy
• Partner cross-functionally with Sales, Account Management, Implementation, and Client Teams
• Ensure compliance with all regulatory and SOP requirements
• Support client discussions with operational and reimbursement insights

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees