Case Manager

🕒 6 dias atrás

🇺🇸 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 6 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 all case elements and tasks are completed timely and cases move through the process as required • Act as single point of contact for prior authorization and appeal processing communications • Communicate patient benefits and responsibility timely and accurately • Assess and refer patients for special programs/services when appropriate • Perform quality checks on cases and report trends to leadership • Adhere to quality and production standards and applicable safety and environmental programs • Troubleshoot complex cases spanning multiple disease states • Interface with internal and external stakeholders to ensure optimal start to therapy • Report Adverse Drug Events in accordance with pharmaceutical requirements • Recognize product quality complaints and forward information to a 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 • Must possess a strong critical thinking skillset along with the ability to multi-task • Must work an 8 hour workday between the hours of 8am - 8pm EST

🏖️ Benefícios

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

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