McKesson Corp is a Fortune 7 company and one of the largest providers of medicines, pharmaceutical supplies and health information technology (IT) products and services in the United States with revenues of $208.4 billion in 2018. The company was founded in 1833 by John McKesson and Charles Olcott in New York with a focus on importing and wholesaling pharmaceutical products. United by our ICARE values, McKesson's 78,000 employees work together every day to make better care possible for patients around the globe.
McKesson is currently seeking a Operations (Reimbursement) Supervisor. The Supervisor will work in a fast paced, high-volume contact center environment with a variety of product support programs managing complex reimbursement issues.
This position is responsible for supervisory, fiscal, and administrative workflow functions, applicable to reimbursement support programs. This position will give direction, resolve problems and be accountable for setting deadlines to ensure timely completion of work and performance guarantees. This position is responsible for addressing escalated reimbursement questions from patients, insurance companies, providers, and clients specific to pharmaceutical products. Interacts with both internal and external business partners to achieve optimal coverage and reimbursement for pharmaceutical products.
Additional Responsibilities:
* Provides daily operations support to frontline staff to effectively respond to escalated issues and complex cases referred from pharmacy specialists, reimbursement specialists, and customers.
* Monitors workload and assigns daily work to frontline staff to ensure productivity levels are achieved.
* Monitors telephone calls and reviews case documentation to ensure quality and accuracy of frontline staff output.
* Works closely with Reimbursement Manager to assure that McKesson is in compliance with all government regulatory anti-fraud and abuse statutes.
* Evaluates current policies and procedures and develops improved standardized processes related to Reimbursement services in order to maximize productivity and quality excellence thus achieving department objectives.
* Interacts with various departments, as needed, to support ongoing Reimbursement activities and quality improvement efforts.
* Administers company and local business unit policies in a consistent and fair manner.
Minimum Job Qualifications (Knowledge, Skills, & Abilities):
Education/Training
Minimum Requirements
3+ years customer service experience and demonstrated leadership skills, depending on area of assignment may be required to have relevant healthcare/insurance experience
Critical Skills
* 5 years of reimbursement healthcare and supervisory/management related experience
* Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physicians office or outpatient billing, pharmacy and/or pharmaceutical manufacturers
* Must be able to analyze specific data and prepare written reports for management and client communications
* 2 - 3 years of call center experience preferred
*
Specialized Knowledge/Skills
* Solid knowledge of customer service policies, practices and systems, and demonstrates leadership skills
* Excellent communication and organizational skills
* Strong problem solving and decision making skills
* Ability to effectively handle multiple priorities within a changing environment
* Strong oral and written communication skills
* Strong organizational skills
* Computer literacy
* ICD-9, HCPCS, CPT experience
Education
4-year degree in business or related field or equivalent experience
Career Level - Manager - M1
McKesson is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to McKessonTalentAcquisition@mckesson.com . Resumes or CVs submitted to this email box will not be accepted.
Current employees must apply through the internal career site.
Join us at McKesson!
Irvine, CA
McKesson Corporation provides pharmaceuticals and medical supplies in the United States and internationally. It operates in three segments: U.S. Pharmaceutical and Specialty Solutions, European Pharmaceutical Solutions, and Medical-Surgical Solutions. The company distributes branded, generic, specialty, biosimilar, and over-the-counter pharmaceutical drugs, as well as other healthcare-related products; and offers practice management, technology, clinical support, and business solutions to community-based oncology and other specialty practices.
It also provides distribution and services to wholesale, institutional, and retail customers and serves patients and consumers in 13 European countries through approximately 2,000 own pharmacies and 6,900 participating pharmacies; and medical-surgical supply distribution, logistics, and other services to healthcare providers. In addition, the company provides software and analytics, network solutions, and technology-enabled services; automation solutions to its retail and hospital customers; health information exchange solutions; and innovative technologies that support retail pharmacies and manufacturers.
It serves retail national accounts, including national and regional chains, food and drug combinations, mail order pharmacies, and mass merchandisers; independent, and small and medium retail pharmacies; and institutional healthcare providers, such as hospitals, health systems, integrated delivery networks, and long-term care providers, as well as pharmaceutical manufacturers. McKesson Corporation was founded in 1833 and is headquartered in Irving, California.