Manager, Field Reimbursement Services

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The Manager, Field Reimbursement Services is responsible for leading a team of field-based reimbursement managers and day to day operations of a field reimbursement program sourced to McKesson by a pharmaceutical manufacturer client. The primary objective for the Manager, Field Reimbursement role is to hire, develop, coach, evaluate, culture-build and lead the reimbursement team, allowing them to successfully engage specialty physician offices and support the manufacturer customer. Additional responsibilities include the overall management of program operations including, but not limited to, staffing, profitability, standard operating procedures, process design, process implementation and process improvements. The position will monitor client SLA agreements to ensure compliance, making staffing and process changes if SLA is not being met. The supervisory guidance includes a nation-wide team of remote-based direct reports requiring monitoring activity, performance development and extensive travel for in-person training and ride-a-longs. Finally, this role will regularly interact with members throughout the Client’s organization, primarily with the Client’s head of Reimbursement Operations, while also acting as a liaison within McKesson representing the field-based reimbursement team to Client Services, Information Systems, Business Analyst’s, Quality Assurance and Training to achieve synergy of processes, training, efficiency and ultimately, customer satisfaction.

Key Responsibilities:

• Leadership of a team of field-based reimbursement specialists who are responsible for providing in-office reimbursement and patient support services in an assigned territory. Responsible for all administrative, training and performance management duties associated with team leadership. This includes weekly 1:1 meeting with FRMs, weekly FRM team meetings, and conducting monthly check – ins, quarterly performance surveys, and monthly QA audits of FRM activity.

• The field-based reimbursement team is an extension of the McKesson-operated reimbursement and patient-support services operated on behalf of the Client. The role is responsible for the effective communication and partnership between the field team and their home office counterparts. This includes establishing weekly meetings with client and operations team to ensure consistency in expectations and two - way communication. Disseminating client direction across remote team, leadership of regular team teleconferences and quarterly ride-a-longs with individual team members for on-going training and development.

• Responsible for providing Field Operations efficiencies and overall innovative ideas to enhance Field Reimbursement Program as a whole. Not only provide ideas but also execute on Field Operation projects. Manager is responsible for completing and execution of projects assigned.

• Ensuring that all SLA and other contractual commitments are met. Responsible for team’s adherence to all applicable privacy and compliance obligations. SLAs and adherence are established in the Rules of Engagement document and vary by client. Activity is measured in FRM SFDC to ensure adherence and SLA expectations are met.

• Works in tandem with Client’s Head of Reimbursement Operations ensuring the execution of Client’s strategic initiatives. Managerial oversight of day-to-day team activities and reporting of results to McKesson Client Services and key Client Contacts. Manager will partner with the Sr. Manager to establish and produce the reports that the Client will receive each month and quarter.

• Manages client expectations regarding delivery of services and provides customer with proactive consultative services on process improvement, revenue generating & cost saving opportunities. These can be evaluated based on FRM SFDC reporting, operations reporting, and client satisfaction each quarter. Assists in preparation of and participates in Quarterly Business Reviews to the client on the state of their business and outlines opportunities for enhancement, growth, efficiency, etc.

• Manager is responsible for FRM Development. Manager partner with FRM to establish a minimum of two development opportunities to assist in career path. In addition, the manager will provide ongoing training and educational opportunities that compliment Field Reimbursement role. This can include but not limited to payer education, conferences, mentorships, billing and coding and My Learning courses selected by Manager.

Minimum Job Qualifications (Knowledge, Skills & Abilities)

• 6+ years of reimbursement experience and 2+ years of supervisory experience

• 4-year degree in related field or equivalent experience

Critical Requirements:

• Experience supporting a Field Reimbursement Team preferred

• Experience managing a field-based team, with management of a field-based reimbursement team strongly preferred.

• Proven account management/client management experience, preferably in a pharmacy or healthcare related industry.

• Proven experience in direct communication with pharmaceutical clients or stakeholders.

Specialized Knowledge/Skills:

• Collaborative, customer focused, and able to create visible value to client and within the organization.

• Ability to develop strong team relationships and bring individuals together to focus on team goals.

• Proven ability to handle multiple projects toward effective solutions and according to budget and timelines

• Detailed understanding and experience with process documentation and improvement.

• Experience with Microsoft Office Suite

• Excellent verbal and written communication skills

Working Conditions:

General Office Demands – Remote, WFH

Travel Requirements
Must be able to travel 60-80% (3-4 days a week) via automobile or plane.

Must have a valid driver's license with a clean driving record/ MVR.

Physical Requirements:

Possible long periods of sitting and/or keyboard work.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$91,600 - $152,600

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Originally posted on Himalayas