Job Description
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