Sr. Payer Specialist (MID)

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.Role SummaryThe Medically Integrated Dispensing (MID) Sr. Payer Specialist help practices optimize their medically integrated pharmacies and dispensaries through accreditation and continuous improvement initiatives. Responsibilities include working with practices to gain and maintain accreditation, develop and maintain continuous quality improvement programs. Acts as a consulting advisor to practices, to optimize patient access, achieve patient advocacy, build plan sponsor partnerships, and develop contracting strategies. This position works closely with the McKesson Account Executives, MID account management and optimization teams to ensure high-quality and consistent service to practices.The position requires subject matter expertise in pharmacy contracting, Pharmacy Service Administration Organizations (PSAOs), pharmacy credentialing and accreditation. Keeps up-to-date knowledge of the industry, competition, and enhances awareness within retain and specialty pharmacy business models and the medically integrated dispensing segment. This position requires excellent communication, customer service and follow-up skills.Key ResponsibilitiesPharmacy & Dispensary Accreditation and continuous improvementAbility to guide practices through URAC, ACHC, and other accreditationsAssists practices with integration and maintenance of accreditation requirementsAssists practices with operation of continuous improvement programsContracting SupportAssists practices with development of payer contracting strategies to optimize network access and reimbursementGuides practices through contract negotiationPatient Access StrategiesAdvises practices on how to build patient advocacyHelps practices build plan sponsor engagement strategiesAssists practices with building long-range contracting strategiesMinimum RequirementDegree or equivalent and typically requires 7+ years of relevant experience.EducationBachelor's Degree or equivalent experienceCritical Skills7+ years pharmacy contracting, pharmacy quality improvement, and/or pharmacy regulatory and payer compliance3+ Years of experience with URAC or ACHC pharmacy accreditation3+ Years of experience in practice consultingDemonstrated experience in developing customer performance improvement plansKnowledge of pharmacy systems, pharmacy and pharmacy workflowAdditional Knowledge & SkillsSpecialty Pharmacy experience a plusWholesale Distributor experience a plusCommunity Oncology experience a plusExperience in provider consulting a plusKnowledge of PBM audit targeting and audit risk mitigation a plusExperience with pharmacy claims adjudication, claim rejections and associated resolutions a plusEffectively manage customer expectations in terms of service and issue resolutionDevelop a proficiency in orals oncology segment and technology (product, application, platform)Develop collaborative internal and external relationships/partnershipExpected CompetenciesCustomer focusedAble to speak with physicians, physician practice staff, pharmacists, and pharmacy staffExcellent problem-solving and decision-making skillsStrong interpersonal skillsSelf-motivated and results-orientated that requires little direction or direct supervisionEffectively manages complex projects with competing deadlinesTeam playerAbility to manage timelines and goalsStrong analytical and business skillsAbility to operate in a fast-paced, dynamic business environmentProficient in Microsoft OfficeTechnologically SavvyWe 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$105,500 - $175,900McKesson 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 is an Equal Opportunity EmployerMcKesson 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.Join us at McKesson!