Cary, North Carolina, United States · Hybrid
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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…
Skills: Team leadership, Medical benefit investigations, Prior authorizations, Reimbursement support, Provider billing
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Fort Worth, Texas, United States · On-site
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Fort Worth, Texas, United States · On-site
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Fort Worth, Texas, United States · On-site
$27/hr–$65/hr
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Fort Worth, Texas, United States · On-site
Buckner Home Care LLC Employee Location will be our at The Stayton by Buckner in Fort Worth, TX Location: 2501 Museum Way, Fort Worth, TX 76107 Job Schedule: Full-Time We are seeking a Home Care Manager to join our new B…
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Fort Worth, Texas, United States · On-site
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Skills: Hemodialysis, Peritoneal Dialysis, Patient Assessment, Renal Replacement Therapy, Vital Signs Monitoring
Fort Worth, Texas, United States · On-site
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Fort Worth, Texas, United States · On-site
Position Summary The Quality Specialist III is responsible for ensuring that personal care products meet established quality standards and comply with regulatory requirements. This role also includes the development, imp…
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Fort Worth, Texas, United States · On-site
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Fort Worth, Texas, United States · On-site
WHO WE ARE At VITAS Healthcare, we’ve been the nation’s leading end-of-life care provider for more than 45 years. We’re not just a hospice company—we’re a mission-driven movement built on compassion, support, and growth …
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Fort Worth, Texas, United States · On-site
Certified Surgical Technologist CST – Labor & Delivery Bring your passion to THR so we are Better + Together!! Work location: Texas Health Alliance: 10864 Texas Health Trail Fort Worth, Texas 76244 Work hours: Full Time …
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Fort Worth, Texas, United States · On-site
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Fort Worth, Texas, United States · On-site
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Cary, North Carolina, United States • Hybrid
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The supervisor leads a team of reimbursement and medical benefit specialists, overseeing complex investigations, prior authorizations, and provider billing support. They are responsible for performance management, process improvement, and serving as a subject matter expert for cell and gene therapy operations.
Candidates must have at least 3 years of experience in specialty pharmacy, medical benefit reimbursement, or revenue cycle management, along with 2 years of leadership experience. A bachelor's degree in a relevant field is preferred.
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 tomorrow’s health today, we want to hear from you.
The Supervisor, CGT Reimbursement & Medical Benefit Operations is responsible for leading a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations. This role serves as a reimbursement and medical billing subject matter expert while providing direct supervision, coaching, performance management, and development of reimbursement professionals.
Location: This is a hybrid role and candidates must live within a drivable distance of our Ft. Worth, TX or Cary, NC locations.
Compensation: The target compensation for this role is between $71,000 and $73,000 annually along with a 5% bonus.
Key Responsibilities
Lead, coach, mentor, and develop a team of reimbursement and medical benefit specialists.
Conduct performance reviews, succession planning, employee development, and workforce planning.
Oversee medical benefit investigations, prior authorizations, reimbursement support, and complex payer escalations.
Partner with internal medical billing teams to ensure claims are billed accurately and compliantly.
Consult with Contracting teams regarding LOAs and SCAs to support reimbursement and operational requirements.
Support Accounts Receivable teams with denial management, underpayments, payer disputes, and reimbursement resolution.
Serve as reimbursement SME for Cell and Gene Therapy and broader Biologics medical benefit programs.
Lead process improvement initiatives and launch readiness activities for new therapies.
Minimum Requirement
Typically requires 3+ years of subject matter experience including exhibiting leadership capabilities.
Education
Bachelor degree preferred in healthcare, business, finance, nursing, or related discipline.
Critical Skills
3+ years of specialty pharmacy, medical benefit reimbursement, provider billing, revenue cycle, or hospital reimbursement experience.
2+ years of leadership or supervisory experience.
Demonstrated medical benefit and billing experience required.
Experience in the specialty healthcare or pharmaceutical segment with understanding of healthcare continuum and relationship between manufacturers, patients, providers, and payers
Strong understanding of health insurance coverage and reimbursement processes, including knowledge of medical coding and billing practices. Familiarity with cell and gene therapies and the associated reimbursement landscape is a plus.
Knowledge of payer policy interpretation, coding, claims adjudication, and reimbursement methodologies.
Strong analytical, communication, and cross-functional collaboration skills.
Knowledge of applicable healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines.
Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units.
Excellent verbal and written communication skills, with the ability to effectively communicate with patients, healthcare providers, and insurance companies.
Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals.
Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
Additional Skills
Experience specifically related to cell and gene therapies is highly desirable.
Strong prioritization, time management and project management skills
Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.
Knowledge of LOAs, SCAs, payer/provider contracting implications, and treatment site reimbursement.
Experience supporting A/R, denial prevention, and reimbursement optimization.
Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement.
Critical thinking, analytical, research, and problem-solving skills
Working Conditions
Environment: Office environment
Physical Requirements
Office environment. 20% travel required.
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.
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. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
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 (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca. Resumes or CVs submitted to this email box will not be accepted.
Advancing Health Outcomes for All | Améliorer les soins de santé pour tous
At McKesson Canada, our vision is to improve care in every setting — one product, one partner, one patient at a time. We partner with hospitals, physicians, pharmacies, nurses, biopharmaceutical manufacturers and others across the spectrum of care to build healthier communities. By helping our partners be as successful as possible, we work together to improve patients’ lives. - Chez McKesson Canada, notre vision est d'améliorer les soins dans tous les contextes — un produit, un partenaire, un patient à la fois. Nous travaillons en partenariat avec des hôpitaux, des médecins, des pharmacies, des infirmières, des fabricants de produits biopharmaceutiques et d'autres dans l'ensemble du système de santé pour bâtir des communautés plus saines. En aidant nos partenaires à avoir le plus de succès possible, nous travaillons ensemble pour améliorer la vie des patients.
Offices: 4705 Dobrin, St-Laurent, Qc H4R 2P7, CA
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