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Payer Contracting Lead (Cell Gene & Advanced Therapy)

Texas, Remote Numéro du poste JR0139830 Catégorie Client Relationship, Customer Service & Relations Date de publication Dec. 15, 2025
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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.

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.

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

  • Payer Contracting: 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.
  • Relationship Management: Maintain and strengthen payer relationships to ensure network access and coverage for CGT and medical benefit therapies.
  • Payment Model Expertise: Provide guidance on reimbursement models (e.g., ASP, AAC, NADAC, CMMI) to internal teams.
  • CGT Collaboration: Work with cross-functional teams and payers to ensure compliance with requirements such as precertification, prior authorization, billing, and payment.
  • Stakeholder Liaison: Act as a key contact for biopharmaceutical manufacturers and payers regarding drug policies, CGT landscape, and reimbursement strategies.

Minimum Requirements

  • Bachelor’s degree or equivalent experience.
  • 10+ years of relevant experience.

Critical Skills

  • 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.

Additional Skills

  • 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.

Physical Requirements

  • 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 click here.

Our Base Pay Range for this position

$134,900 - $224,900

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. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!

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McKesson a pris connaissance d'arnaques en ligne liées au recrutement dans lesquelles des individus non affiliés à McKesson ou autorisés par celle-ci utilisent le nom de McKesson (ou d'entités affiliées, telles que CoverMyMeds ou RxCrossroads) dans des courriels frauduleux, des offres d'emploi ou des messages sur les réseaux sociaux. Compte tenu de ces arnaques, veuillez garder à l'esprit ce qui suit :

 

  • Les conseillers en talent de McKesson ne demanderont jamais d'argent ni d'informations de carte de crédit dans le cadre d'une candidature à un emploi chez McKesson.
  • Les conseillers en talent de McKesson ne communiquent pas avec les candidats via des salles de discussion en ligne ou en utilisant des comptes courriels tels que Gmail ou Hotmail. Notez que McKesson s'appuie sur un assistant virtuel (Gia) pour certaines communications liées au recrutement avec les candidats.
  • Les offres d'emploi de McKesson sont publiées sur le site de carrières de McKesson: careers.mckesson.com.

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