McKesson Reimbursement Territory Manager in California, California
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.
We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise.Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. You’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.
Join our team of leaders to begin a rewarding career.
The Field Reimbursement Territory Manager (FRTM) is responsible for managing a geographic territory and ensuring appropriate patient access to a manufacturer’s product through physician education and reimbursement assistance.
Provide on-site and on-demand education and reimbursement support for the physician and/or practice staff in regards to reimbursement challenges and patient support services associated with a specialty product(s). Office interactions will include, but are not limited to:
The Reimbursement Process for a product(s), including Buy & Bill and Assignment of Benefit through a specialty pharmacy processes
Manufacturer’s support center services offered
The Payer landscape for the product(s) and associated policies
Information related to alternative funding, manufacturer copay assistance programs and patient assistance programs
Reimbursement Support (all in accordance with program business rules):
Assistance with Benefits Investigations, Prior Authorization, Claims Assistance and Appeals
Billing and coding updates
Appropriate claims submission
Medical benefit interpretation
Understanding medical necessity
Oversee the patient case and provider experience related to reimbursement and access in assigned geographic territory.
Identify need, schedule and execute on travel throughout territory
Work in concert with manufacturer’s field sales team best support territory
Work in concert with manufacturer’s patient support center on patient case management
Assist in the completion of backlog casework and move pending reimbursement cases through to conclusion
Monitor territory’s performance through analysis of reporting, customer relationship management system and conversations with practices and manufacturer’s field sales
Identify any issues detrimental to territory performance and create strategies for resolution
Research and compile provider / manufacturer representative-specific information for reimbursement database. (Includes account profiles)
Utilize internal resources to proactively address areas of opportunity related to the overall customer experience.
Utilize performance tracking tools & survey
Additional day-to-day in-office work
Bachelor’s Degree preferably in business or healthcare-related field; or a minimum of 8 years healthcare- related reimbursement experience
Strong technical medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy
Experience in the healthcare industry including, but not limited to practice management, revenue cycle management, insurance verification and/or claim adjudication, for physician practice, clinic or hospital outpatient setting
Must have public (Medicare/Medicaid) and commercial insurance coverage experience
Must be able to clearly deliver and document patient benefit investigation outcomes and relay status reports on a regular basis
Proven customer service experience
Proven presentation/public speaking skills and experience
Proven teamwork skill set
Proven ability to effectively handle multiple priorities in a fast-paced, changing environment
Excellent organizational skills
Strong computer literacy
The Microsoft Office suite (in particular, PowerPoint, Word, Excel and Outlook)
Web Meeting experience
Web-based CRM experience preferable
Additional Knowledge & Skills
Previous field experience, a plus
Client facing customer experience
Account management and project management experience, a plus
Excellent Interpersonal skills
Excellent written and oral communication skills
Problem solving and decision making skills
4-year degree in related field or 8 years relevant experience
Must be able to travel 80% (4 days a week) via automobile or plane
Must have a valid driver's license with a clean driving record/ MVR
General Office Demands
Benefits & Company Statement
McKesson believes superior performance – individual and team – that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it’s flexible enough to meet the different needs of our diverse employee population.
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
But we can’t do it without you. Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company—and of healthcare. At McKesson, you’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.
McKesson is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
No agencies please.Category: Project Management