Reimbursement Case Manager

March 24

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UBC

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Biotechnology • Healthcare Insurance • Pharmaceuticals

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.

1001 - 5000 employees

Founded 2003

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. • Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. • Provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. • Coordinate the patient's access to therapies, conduct appropriate follow ups, and facilitate access to support services. • Act as single point of contact responsible for prior authorization and appeal processing communications. • Communicate patient benefits and responsibility timely and accurately. • Perform quality checks on cases and report trends to leadership. • Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders. • Report Adverse Drug Events and forward product quality complaints to manufacturers.

🎯 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