Case Manager, Reimbursement

🕒 Outubro 31

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 11 dias.
• As vagas desta empresa costumam ser preenchidas em 22 dias.
• Sem salário divulgado.

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UBC

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2003

🏥 Saúde

💼 Consultoria

🧬 Biotecnologia

Healthcare • Consulting • Biotechnology

A UBC é uma empresa dedicada a melhorar os resultados dos pacientes, conectando terapias especializadas aos pacientes que delas necessitam. Eles oferecem soluções modernas e personalizadas, focando em acesso, segurança e geração de evidências para produtos biofarmacêuticos. A UBC é especializada em desenvolvimento de evidências, gestão de riscos e acesso do paciente, utilizando dados do mundo real e tecnologias inovadoras para otimizar a jornada de saúde e garantir o uso eficaz de medicamentos.

Descrição

• Provide day-to-day case management oversight and coordination of assigned caseload • Ensure case elements and tasks are completed timely and cases move through the required process • Act as the single point of contact for prior authorization and appeal processing communications • Communicate patient benefits and responsibility accurately and promptly • Assess and refer patients for special programs and services • Perform quality checks on cases and report trends to leadership • Maintain good housekeeping techniques and comply with quality, production, safety, and environmental procedures • Troubleshoot complex cases across multiple disease states • Interface with internal and external stakeholders to ensure optimal start to therapy • Report adverse drug events according to pharmaceutical requirements • Recognize product quality complaints and forward information to the manufacturer • Perform other duties as assigned

🎯 Requisitos

• Bachelor’s degree or six years of relevant working experience • Two (2) or more years of relevant experience in pharmacy benefit management preferred • Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred • Certification preferred but not required • Proficient in Microsoft Office applications • Knowledge of medical and claims processing terminology • Excellent written/verbal communication to include providing clear instructions • Strong critical thinking skillset • Ability to multi-task • Must be available to work a full-time assigned schedule between 11:00 AM and 8:00 PM Eastern Time, Monday through Friday • Candidates outside the Eastern Time Zone must be able to work the assigned Eastern Time shift • Ability and willingness to travel as required

🏖️ Benefícios

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match • Tuition assistance after 90 days of employment • Flexible work environment • 20 days PTO • Paid Holidays • Employee assistance programs • Medical, Dental, and vision coverage • HSA/FSA • Telemedicine (Virtual doctor appointments) • Wellness program • Adoption assistance • Short term disability after 90 days of employment • Long term disability • Life insurance • Discount programs

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