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 primary 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 • Troubleshoot complex cases across multiple disease states • Interface with internal and external stakeholders to support optimal start to therapy • Report patient-experienced Adverse Drug Events according to pharmaceutical requirements • Recognize product quality complaints and forward caller or written information to the manufacturer • Maintain good housekeeping techniques and adhere to quality and production standards • 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 shift based on Eastern Time business hours • Must be willing and able to travel as needed • Must comply with applicable company, state, and federal safety and environmental programs and procedures

🏖️ 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 • Occasional travel may be required based on client, business, or training needs

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