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RXC RxC Acquisition Company
Field Reimbursement Manager
Career Insights for Compensation / Benefits Manager
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Scorecard
Based on Missouri data
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What they do
A Compensation or Benefits Manager manages compensation and benefits systems and records for an organization or company. Determines pay structure and job classifications for company employees. Supervises payroll, accounting of employee benefits, and payout of benefits such as pensions or disability insurance.
$113,637 / year median in Missouri
+6% projected growth
Job Description
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.
Required:
Candidate must live within the St. Louis, MO or New Orleans, LA. area.Key Responsibilities:
Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in regard to Reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. This trended data is also reported quarterly to client. Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. FRM will collaborate with case manager on average of 4/month and ad hoc as needed for escalations. These interactions are tracked in FRM CRM and hub system. Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework. Additional day-to-day in-office work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client. Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through quarterly reporting. Additionally, clients have the option to survey customers on program performance. Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles) FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database. Minimum Job Qualifications- 4-year degree in related field or equivalent experience 4+ years of healthcare related reimbursement experience Business Experience
- Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
- Previous field experience, a plus Previous experience with specialty pharmacy a plus Account management experience, a plus Excellent Interpersonal skills.
Working Conditions:
General Office Demands- Remote, WFH Travel Requirements Must reside in territory
- St. Louis, MO or New Orleans, LA. 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 Physical Requirements (Lifting, standing, etc.)
- Possible long periods of sitting and/or keyboard work.
- $133,800 McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages.