Case Manager, Reimbursement

🕒 July 23

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UBC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

UBC is a company dedicated to improving patient outcomes by connecting specialty therapies to patients in need. They provide modern and customized solutions focusing on access, safety, and evidence generation for biopharmaceutical products. UBC specializes in evidence development, risk management, and patient access, utilizing real-world data and innovative technologies to optimize the healthcare journey and ensure effective medication use.

📋 Description

• Serve as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals • Provide inbound and outbound phone support to patients, caregivers, and providers to determine patient eligibility • Coordinate patient access to therapies and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP) • Act as single point of contact responsible for prior authorization and appeal processing communications • Assess and refer patients appropriately for special programs/services when appropriate • Perform quality checks on cases and report trends to leadership • Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders

🎯 Requirements

• 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 • Proficient in Microsoft Office applications • Knowledge of medical and claims processing terminology • Excellent written/verbal communication to include providing clear instructions

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401k with company match* • Tuition reimbursement • Flexible work environment • 20 Days PTO Annually (accrued) • 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