Payer Contracting Lead (Cell Gene & Advanced Therapy)

McKesson

8d

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. The Medical & CGT Payer Contracting Lead plays a critical role in ensuring broad medical payer reimbursement access for Biologics’ medical benefit and cell & gene therapy (CGT) medications. This position focuses on negotiating, executing, and managing reimbursement agreements with national and regional payers. You will collaborate closely with internal teams and the CGT Lead Payer Specialist to oversee payer relationships, contracts, performance guarantees, reporting, and payment processes. This role is essential in enabling timely patient access to innovative therapies while reducing financial and administrative barriers.

Requirements

• Bachelor’s degree or equivalent experience.
• 10+ years of relevant experience.
• Minimum 7 years in specialty pharmacy, medical ancillary contracting, or related services.
• At least 5 years in medical and/or pharmacy payer reimbursement contracting.
• Strong understanding of payer medical policies, prior authorizations, HCPCS codes, and therapy approval processes.
• Experience in specialty healthcare or pharmaceutical segments; CGT knowledge is a plus.
• Familiarity with healthcare laws and regulations (HIPAA, Medicare, Medicaid).
• Proficiency in Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Ability to collaborate across business units and influence stakeholders.
• Strong prioritization, time management, and project management skills.
• Analytical and problem-solving abilities, including issue resolution related to treatment logistics.

Nice To Haves

• Experience with pharmaceutical manufacturers is a plus.

Responsibilities

• Payer Contracting: Lead the end-to-end payer contracting process, including financial modeling, credentialing/recredentialing, and payment yield management. Partner with Legal, Finance, Operations, and other stakeholders.
• Relationship Management: Maintain and strengthen payer relationships to ensure network access and coverage for CGT and medical benefit therapies.
• Payment Model Expertise: Provide guidance on reimbursement models (e.g., ASP, AAC, NADAC, CMMI) to internal teams.
• CGT Collaboration: Work with cross-functional teams and payers to ensure compliance with requirements such as precertification, prior authorization, billing, and payment.
• Stakeholder Liaison: Act as a key contact for biopharmaceutical manufacturers and payers regarding drug policies, CGT landscape, and reimbursement strategies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees