Case Manager, Reimbursement
As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity.If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! At UBC, the Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. As the single point of contact you will provide inbound and
outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow
ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP). Specific job duties:Provide day-to-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and ensure cases move through the process as required.Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders.Communicate patient benefits and responsibility timely and accurately. Assess and refer patients appropriately for special programs/services when appropriate.Performs quality checks on cases and report trends to leadership.Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures. Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapyReport Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements.Recognize a product quality complaint and forward caller/written information to a manufacturer.Other duties, as assigned. Desired Skills and Qualifications:Bachelor’s degree or six years of relevant working experienceTwo (2) or more years of relevant experience in pharmacy benefit management preferredMedical Assistant, Social Worker or Senior Reimbursement Specialist experience preferredProficient in Microsoft Office applicationsKnowledge of medical and claims processing terminology Excellent written/verbal communication to include providing clear instructionsBenefits:At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally. Here are some of the exciting perks UBC offers:Remote opportunitiesCompetitive salariesGrowth opportunities for promotion401k with company match*Tuition reimbursementFlexible work environment20 Days PTO Annually (accrued)Paid HolidaysEmployee assistance programs Medical, Dental, and vision coverageHSA/FSATelemedicine (Virtual doctor appointments)Wellness programAdoption assistanceShort term disabilityLong term disabilityLife insuranceDiscount programsUBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.
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outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow
ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP). Specific job duties:Provide day-to-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and ensure cases move through the process as required.Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders.Communicate patient benefits and responsibility timely and accurately. Assess and refer patients appropriately for special programs/services when appropriate.Performs quality checks on cases and report trends to leadership.Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures. Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapyReport Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements.Recognize a product quality complaint and forward caller/written information to a manufacturer.Other duties, as assigned. Desired Skills and Qualifications:Bachelor’s degree or six years of relevant working experienceTwo (2) or more years of relevant experience in pharmacy benefit management preferredMedical Assistant, Social Worker or Senior Reimbursement Specialist experience preferredProficient in Microsoft Office applicationsKnowledge of medical and claims processing terminology Excellent written/verbal communication to include providing clear instructionsBenefits:At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally. Here are some of the exciting perks UBC offers:Remote opportunitiesCompetitive salariesGrowth opportunities for promotion401k with company match*Tuition reimbursementFlexible work environment20 Days PTO Annually (accrued)Paid HolidaysEmployee assistance programs Medical, Dental, and vision coverageHSA/FSATelemedicine (Virtual doctor appointments)Wellness programAdoption assistanceShort term disabilityLong term disabilityLife insuranceDiscount programsUBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.
Apply Now