Reimbursement Operations Manager
Location:
Scottsdale , Arizona
Posted:
January 27, 2017
Reference:
16010151-en-us
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.
 
We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise.  Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. You’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.
 
Join our team of leaders to begin a rewarding career.
 
Position Description
Contact center management for a variety of product support programs that manage client reimbursement needs. This position is responsible for the overall management of program operations including, but not limited to, staffing, profitability, standard operating procedures, process design, process implementation and process improvements. This position will monitor client Service Level Agreements (SLA) to ensure compliance and make staffing and process changes and improvements if SLA is not being met. This position will provide supervisory guidance to direct reports and monitor performance based on job descriptions and expectations of the subordinate positions. This position will also act as a liaison between Client Services, Information Systems, Business Analysts, Quality Assurance and Training to achieve synergy of processes, training, efficiency and ultimately, customer satisfaction.
 
Key Responsibilities:
  • Manage Customer Service Supervisors, performance to be measured against job descriptions and Roles and Responsibilities. Apply development program for all direct reports.
  • Ensure SLA’s are met, maintained and improved if possible.
  • Maintain and monitor program profitability
  • Works closely with Supervisors to assure that McKesson is in compliance with all government regulatory anti-fraud and abuse statutes.
  • Develop standardized policies and procedures.
  • Effectively act as Liaison between all internal and external customers to provide excellence in Customer Service
  • Effectively handle multiple priorities within a changing environment

Qualifications

Minimum Requirements
5+ year’s customer service experience including 2+ years managerial experience, depending on area of assignment may be required to have relevant healthcare/insurance experience
 
Critical Skills
  • Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physician’s office or outpatient billing, pharmacy and/or pharmaceutical manufacturers.
  • Experience in managing larger healthcare programs with 50-100 agents.
  • Understanding of Alternate Funding and Patient Assistant Programs.
  • Experience with Public (Medicare/Medicaid) and/or Commercial insurance.
  • Experience in program implementation, maintenance and restructure.
  • Ability to analyze reimbursement specific data and prepare written reports for upper management and client communications.
  • Experience meeting or exceeding multiple SLAs for the program.
  • Experience in budget, staffing and profitability models.
 
Additional knowledge and skills
  • Ability to apply Contact Center and Customer Service best practices, preferred
  • Understanding of ICD-10, ICD-9, CPT, and HCPCS, desired
     
Education
4-year degree in business or related field or equivalent experience
 
Physical Requirements
General Office Demands
 
Benefits & Company Statement
McKesson believes superior performance – individual and team – that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it’s flexible enough to meet the different needs of our diverse employee population.
 
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
 
But we can’t do it without you. Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company—and of healthcare. At McKesson, you’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.
 
McKesson is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.
 
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
 
Agency Statement
No agencies please.

A little about us:
McKesson is in business for better health.

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