Manager, Patient Access & Reimbursement Operations

Manager, Patient Access & Reimbursement Operations

At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes — one patient, one partner, one therapy at a time.

The Manager, Patient Access & Reimbursement Operations will lead a team responsible for specialty pharmacy patient access, reimbursement execution, and affordability programs supporting rare disease and high-cost therapies.

You'll own the end-to-end referral-to-therapy process, including benefit verification, prior authorizations, appeals, pharmacy coordination, and patient assistance programs while driving daily operations, team performance, and workflow optimization.

Key Responsibilities

• Lead and develop a team supporting patient access, reimbursement, and affordability programs
• Oversee daily workflows, staffing, training, performance, and escalations
• Provide direct oversight of reimbursement workflows (benefits, PAs, appeals, PAP)
• Serve as the primary escalation point for complex access and claim issues
• Optimize referral-to-approval workflows to reduce time to therapy
• Partner cross-functionally with Sales, Account Management, Implementation, and Client Teams
• Ensure compliance with all regulatory and SOP requirements
• Support client discussions with operational and reimbursement insights

Minimum Requirement

Degree or equivalent experience. Typically requires 6+ years of professional experience and 0-2 years of supervisory experience.

Critical Skills:

• Reimbursement experience including, benefit verification, prior authorizations, appeals patient affordability / PAP programs
• Demonstrated ability to coach teams through complex reimbursement and access scenarios with direct ownership of daily workflow, escalations, and performance
• Experience analyzing operational and financial performance data
• Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint

Additional Skills/Knowledge

• Rare disease, oncology, or ultra-high-cost therapy programs
• Experience working with manufacturers and specialty pharmacies
• Workflow standardization across multi-site operations
• Exposure to Lean, Six Sigma, or continuous improvement methodologies
• Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.

Work Environment

• Office-based / hybrid
• Up to 20% travel

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. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered.

McKesson is an Equal Opportunity Employer. McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information.

Join us at McKesson!