Case Manager - FIXED TERM

August 14

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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

• Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. • Inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. • Prioritize and enhance the patient experience, coordinate patient access to therapies, perform follow ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP). • Specific Job Duties: Provide day-to-day oversight and coordination of caseload; act as single point of contact for prior authorization and appeal processing; communicate patient benefits and responsibility timely and accurately. • Assess and refer patients appropriately for special programs/services when appropriate. • Perform quality checks on cases and report trends to leadership. • Responsible for good housekeeping, adhering to quality and production standards while complying with safety and environmental programs and procedures. • Troubleshoot complex cases across disease-states; interface with stakeholders to ensure start to therapy. • Report Adverse Drug Events experienced by the patient to pharmaceutical requirements; forward product quality complaint details to manufacturer. • Other duties, as assigned. • Desired Skills and Qualifications: Bachelor’s degree or six years of relevant working experience; etc.

🎯 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 • Paid Holidays • Employee assistance programs • Medical, Dental, and vision coverage • HSA/FSA • Telemedicine (Virtual doctor appointments) • Wellness program • Adoption assistance • Short & Long term disability • Life insurance • Discount programs