[Hiring] Payer Contracting Lead @McKesson

Remote, USA Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Medical & CGT Payer Contracting Lead plays a critical role in ensuring broad medical payer reimbursement access for Biologics’ medical benefit and cell & gene therapy (CGT) medications. This position focuses on negotiating, executing, and managing reimbursement agreements with national and regional payers. • Lead the end-to-end payer contracting process, including financial modeling, credentialing/recredentialing, and payment yield management. • Partner with Legal, Finance, Operations, and other stakeholders. • Maintain and strengthen payer relationships to ensure network access and coverage for CGT and medical benefit therapies. • Provide guidance on reimbursement models (e.g., ASP, AAC, NADAC, CMMI) to internal teams. • Work with cross-functional teams and payers to ensure compliance with requirements such as precertification, prior authorization, billing, and payment. • Act as a key contact for biopharmaceutical manufacturers and payers regarding drug policies, CGT landscape, and reimbursement strategies. Qualifications • Bachelor’s degree or equivalent experience. • 10+ years of relevant experience. Requirements • Minimum 7 years in specialty pharmacy, medical ancillary contracting, or related services. • At least 5 years in medical and/or pharmacy payer reimbursement contracting. • Strong understanding of payer medical policies, prior authorizations, HCPCS codes, and therapy approval processes. • Experience in specialty healthcare or pharmaceutical segments; CGT knowledge is a plus. • Familiarity with healthcare laws and regulations (HIPAA, Medicare, Medicaid). • Proficiency in bolthires Office Suite. Benefits 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. Our Base Pay Range for this position: $134,900 - $224,900 Company 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. 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. Apply tot his job Apply tot his job
Apply Now

Similar Jobs

Payroll Market Supervisor – Southern California (Hybrid / Remote)

Remote, USA Full-time

Payroll Specialist I - Canadian Experience Required - Virtual/Remote

Remote, USA Full-time

Assessment Strategist

Remote, USA Full-time

ES Scoring Assistant- Sciences CA

Remote, USA Full-time

Pearson - Analyst/Associate Group Strategy - Remote - Hoboken, NJ

Remote, USA Full-time

Performance Marketing Manager | Meta & App Campaigns

Remote, USA Full-time

Retirement Analyst, Fidelity Workplace Consulting

Remote, USA Full-time

Digital and Global Brand Communications Operations Specialist NY-Purchase-700-HDQ-NY211 Purchase, New York; Plano, Texas; Chicago, Illinois Purchase New York United States Digital and Global Brand Communications Operations Specialist

Remote, USA Full-time

Performance Marketing Manager, Programmatic Display and Social

Remote, USA Full-time

Tricentis NeoLoad Performance & Automation Engineer (SAP S/4HANA Remote / Telecommute Jobs

Remote, USA Full-time

Provider Data Service Senior Coordinator

Remote, USA Full-time

Experienced Customer Service Representative – Remote Opportunity for Passionate Problem-Solvers to Deliver Exceptional Service and Drive Growth at blithequark

Remote, USA Full-time

Engineering Manager II, Big Data Storage

Remote, USA Full-time

3 Days Left: Home Health Registered Nurse RN Full Time Baylor - Flexible 4-day Workweek

Remote, USA Full-time

Tele Sales Consultant

Remote, USA Full-time

Mid Full Stack Web Developer

Remote, USA Full-time

Disney Remote Jobs No Experience :: Us $26Hr

Remote, USA Full-time

Senior Digital Marketing Specialist - Remote Opportunity with the World's #1 Job Site - Driving Employer Customer Acquisition through Search Engine Marketing Excellence

Remote, USA Full-time

Virtual Clinical Trainer / Nurse Educator

Remote, USA Full-time

Experienced Amazon Customer Service Representative - Work from Home, Part-Time Opportunity with Flexible Scheduling

Remote, USA Full-time
Back to Home