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9 часов назад

Field Reimbursement Manager (Healthcare)

80 300 - 133 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Field Reimbursement Manager (Healthcare): Supporting reimbursement and patient services for a specific drug through benefit investigations, prior authorizations, claims assistance, appeals, and provider education with an accent on Medicare, commercial insurance, specialty pharmacy, and physician-office relationships. Focus on managing territory performance, coordinating casework and account activities, and delivering on-site and virtual training while traveling up to 80%.

Location: Remote within the United States; candidates must reside in the assigned territory. Target locations include Atlanta, GA; Birmingham, AL; Memphis, TN; New Orleans, LA; and Tulsa, OK. Travel up to 80% (four days per week) by automobile or plane is required.

Salary: $80,300–$133,800 per year, plus potential bonus or long-term incentive opportunities.

Company

hirify.global operates within McKesson, a Fortune 10 healthcare company delivering products, services, and insights that improve access to care.

What you will do

  • Support reimbursement and patient services for an assigned drug, including benefit investigations, prior authorizations, claims assistance, appeals, and patient assistance programs.
  • Provide on-site and virtual education for physician-office staff on reimbursement challenges, payer coverage, Medicare, commercial insurance, and available support services.
  • Coordinate with case managers, physicians, manufacturer representatives, and internal hub services to resolve reimbursement issues and escalations.
  • Set appointments, conduct outbound calls, assist with backlog casework, and maintain provider and facility information in the FRM CRM.
  • Monitor territory and program performance through CRM dashboards, activity reports, and quarterly client reporting.
  • Travel throughout the assigned territory to conduct office visits, manufacturer trainings, and educational presentations.

Requirements

  • Four-year degree in a related field or equivalent experience.
  • At least four years of healthcare-related reimbursement experience.
  • Strong experience with medical reimbursement, Buy & Bill and/or specialty pharmacy, insurance verification, prior authorizations, and claims adjudication.
  • Experience with Medicare and commercial insurance coverage, benefit investigations, and regular status reporting.
  • Proven presentation, communication, organization, problem-solving, and decision-making skills.
  • Must reside in the assigned territory and have a valid driver’s license with a clean driving record.

Nice to have

  • Experience supporting oncology products.
  • Previous field experience, specialty pharmacy experience, or account management experience.

Culture & Benefits

  • Remote work structure with frequent customer-site and territory travel.
  • Competitive compensation determined by experience, skills, performance, market data, and geography.
  • Potential annual bonus or long-term incentive opportunities.
  • Equal employment opportunity and reasonable accommodation support are provided.

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