Manager, Patient Access & Reimbursement Operations
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Job Location:
Monthly Salary:
Posted on:
5 hours ago
Vacancies:
1 Vacancy
Job Summary
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 tomorrows 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.
Youll 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.
Key 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
Minimum Requirement
Degree or equivalent experience. Typically requires 6 years of professional experience and 0-2 years of supervisory experience.
Critical Skills:
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
Additional Skills/Knowledge
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.
Work Environment
Office-based / hybrid
Up to 20% travel
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 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 pleaseclick here.
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability age or genetic information. For additional information on McKessons full Equal Employment Opportunity policies visit our Equal Employment Opportunity page.
Join us at McKesson!
Required Experience:
Manager
Key Skills
- Active Directory
- Identity & Access Management
- LDAP
- SAFe
- Assistive Technologies
- Authentication
- Pediatrics Experience
- NVDA
- Sailpoint
- SSH
- SSO
- Oracle
About Company
McKesson is the leading healthcare company for wholesale medical supplies & equipment, pharmaceutical distribution, and healthcare technology solutions. McKesson is the central nervous system of health care. At any given moment, in any given minute, we simultaneously execute thousands ... View more
