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.

Mission

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.

Purpose

The Specialty Pharmacy Services organization is the gateway to life-changing Biologic therapies. We are the first step in a patient’s journey toward better health, ensuring that access to critical treatments is seamless, compassionate, and efficient. From the moment a prescription is written, we navigate complexities, remove barriers, and champion each patient’s path to care. As a Patient Access team member, you are a vital advocate and guide. You bring clarity to the complex, answering pharmacy support lines with empathy, managing prior authorizations with precision, and connecting patients to the financial resources they need. Whether it’s ensuring insurance coverage for therapy or securing copay support, your work ensures that we turn barriers into bridges for every patient. This role is not just about process—it’s about purpose. It’s about being the difference between delay and delivery, between uncertainty and hope.

Responsibilities

• Recognize and effectively communicate about insurance types and when each type would be utilized
• Enter all communication and documentation in the Biologics’ MIS
• Assist with projects, such as yearly reverification
• Communicate with patients to gather appropriate insurance information
• Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient
• Appropriately process pharmacy claims in Biologics’ MIS
• Recognize and understand pharmacy claim responses
• Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided
• Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
• Manage and reply to internal written communications and requests received via chat or email
• Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
• Utilize clinical notes provided by providers to initiate prior authorizations, where allowed, via online portal, phone, or fax
• Request payor overrides when required
• Other related duties as assigned by Supervisor

Requirements

• Typically requires 3+ years of related experience
• Minimum of associate degree or equivalent experience
• 3+ years of related experience in healthcare, pharmacy operations, or patient services
• Strong communication, organizational, and problem-solving skills
• Familiarity with pharmacy systems, insurance processes, and patient assistance programs preferred

Schedule

This role is a hybrid position. The selected candidate is expected to work on-site at our Cary office a minimum of two (2) days per week, with the remaining days worked remotely. Specific in-office days may be designated based on team needs and business priorities.

Pay

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.

Our Base Pay Range for this position: $17.99 - $29.98

Benefits

For more information regarding benefits at McKesson, please click here.