Payer Contracting Lead; Cell Gene & Advanced Therapy
Listed on 2025-12-18
-
Healthcare
Healthcare Administration, Healthcare Management
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.
Medical & CGT Payer Contracting LeadThis role plays a critical part in ensuring broad medical payer reimbursement access for Biologics’ medical benefit and cell & gene therapy (CGT) medications. It focuses on negotiating, executing, and managing reimbursement agreements with national and regional payers.
You will collaborate closely with internal teams and the CGT Lead Payer Specialist to oversee payer relationships, contracts, performance guarantees, reporting, and payment processes. This role is essential in enabling timely patient access to innovative therapies while reducing financial and administrative barriers.
Key Responsibilities- 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.
- Bachelor’s degree or equivalent experience.
- 10+ years of relevant experience.
- 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 Microsoft Office Suite.
- Excellent verbal and written communication skills.
- Ability to collaborate across business units and influence stakeholders.
- Strong prioritization, time management, and project management skills.
- Analytical and problem‑solving abilities, including issue resolution related to treatment logistics.
- Experience with pharmaceutical manufacturers is a plus.
- Office environment.
- Less than 30% 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. 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 .
$134,900 - $224,900
McKesson is an Equal Opportunity EmployerMcKesson 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. For additional information on McKesson’s full Equal Employment Opportunity policies, visit the Equal Employment Opportunity page.
Join us at McKesson!#J-18808-Ljbffr(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).