Health Services Specialist

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 Overview

The Biologics Patient Access Specialist is responsible for coordinating and supporting all aspects of patient access to specialty and biologic therapies. This role serves as a key liaison between patients, providers, payers, specialty pharmacies, and internal teams to ensure timely access to prescribed medications. Responsibilities include benefits investigations, prior authorization support, financial assistance coordination, patient education, and ongoing communication to remove treatment barriers and promote a seamless patient experience.

Key Responsibilities

Benefits Investigation & Coverage Verification

• Conduct comprehensive benefits investigations for specialty and biologic medications.
• Verify insurance eligibility, coverage criteria, deductible and copay responsibilities, and specialty pharmacy requirements.
• Identify prior authorization, step therapy, quantity limits, and reauthorization requirements.
• Communicate coverage determinations and next steps to providers, patients, and internal stakeholders.

Prior Authorization & Appeals Support

• Obtain and review clinical documentation necessary for prior authorization submissions.
• Educate provider offices on payer requirements, authorization criteria, and required forms.
• Track authorization requests and provide timely status updates.
• Support the appeals process by gathering documentation and assisting with oral or written appeal submissions when coverage is denied.

Financial Assistance Coordination

• Assess patient eligibility for copay assistance programs, manufacturer-sponsored support, and foundation grants.
• Assist patients with program enrollment and application completion.
• Monitor application status and coordinate funding approvals.
• Collaborate with internal and external partners to ensure financial assistance aligns with payer guidelines and program requirements.

Patient Communication & Support

• Provide compassionate and professional support to patients throughout the treatment access process.
• Educate patients on therapy onboarding, expected timelines, and available support resources.
• Manage inbound and outbound communications with accuracy, empathy, and professionalism.
• Proactively communicate delays, barriers, and resolution plans to patients and stakeholders.

Provider & Pharmacy Coordination

• Partner with provider offices to obtain missing documentation, prescriptions, signatures, and clinical information.
• Coordinate with specialty pharmacies regarding prescription processing, authorization requirements, and patient onboarding activities.
• Facilitate accurate information exchange between all stakeholders to prevent delays in therapy initiation.

Documentation & Compliance

• Maintain accurate, detailed, and timely documentation in CareTend, AssistPoint, or other case management systems.
• Ensure compliance with HIPAA regulations, company policies, and applicable healthcare standards.
• Document all patient interactions and case activities to support audits, quality assurance reviews, and URAC accreditation requirements.

Workflow & Performance Expectations

• Meet established productivity, quality, and service-level standards.
• Adhere to turnaround time requirements for benefits investigations, prior authorizations, and case updates.
• Maintain quality audit scores and call performance metrics, when applicable.
• Support cross-functional teams and assist with workload balancing based on business needs.

Minimum Requirement

Typically requires 3+ years of related experience.

Education

High school diploma or equivalent required; Associate's or Bachelor's degree preferred.

Critical Skills

• Experience in healthcare, pharmacy operations, reimbursement support, patient access services, or medical benefits.
• Working knowledge of commercial, Medicare, and Medicaid insurance plans.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and healthcare technology platforms.

Preferred Qualifications

• Experience supporting specialty or biologic medications.
• Knowledge of prior authorization processes, reimbursement workflows, and medical coding, including ICD-10, HCPCS, and J-codes.
• Experience with CareTend, AssistPoint, or comparable patient access management systems.
• Familiarity with manufacturer patient support programs and financial assistance resources.

Core Competencies

• Strong attention to detail and commitment to accuracy.
• Excellent problem-solving and critical-thinking abilities.
• Compassionate, patient-centered approach to service.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong organizational and time-management skills.
• Effective collaboration and teamwork across diverse stakeholder groups.
• Adaptability and flexibility in response to evolving business needs and priorities.

Work Environment

This position operates in a fast-paced healthcare environment and requires frequent interaction with patients, providers, pharmacies, payers, and internal stakeholders. The Biologics Patient Access Specialist must maintain a high level of professionalism, confidentiality, and customer service while supporting patients through complex access and reimbursement processes.

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

$17.99 - $29.98

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McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

 

McKesson 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) [email protected] or (Canada) [email protected]. Resumes or CVs submitted to this email box will not be accepted.

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