Pharmaceutical Support Nurse

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🏄 California – Remote

🏄 California – Remote

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UBC

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2003

🏥 Gesundheitswesen

💼 Beratung

🧬 Biotechnologie

Healthcare • Consulting • Biotechnology

UBC ist ein Unternehmen, das sich der Verbesserung von Patientenergebnissen widmet, indem es spezielle Therapien mit bedürftigen Patienten verbindet. Sie bieten moderne und maßgeschneiderte Lösungen, die sich auf den Zugang, die Sicherheit und die Evidenzerzeugung für biopharmazeutische Produkte konzentrieren. UBC ist spezialisiert auf die Evidenzentwicklung, das Risikomanagement und den Patientenzugang und nutzt reale Daten und innovative Technologien, um die Gesundheitsreise zu optimieren und einen effektiven Medikamenteneinsatz zu gewährleisten.

Beschreibung

• Provide telephonic support to healthcare providers and patients for client-funded pharmaceutical contracts • Review payer-specific coverage criteria, prior authorization submissions, and appeal submissions • Provide written communication using client-approved program resources • Build and develop strong customer relationships supporting patient access activities • Adhere to program-specific contractual agreements and company practices • Demonstrate clinical competency in reimbursement, products, and medical records • Review and train team members on reimbursement, product, and medical-record concepts • Troubleshoot complex cases, identify disease-state trends, investigate data, and resolve escalated reimbursement issues • Review payer product coverage criteria and denial letters for documentation required for coverage determinations • Communicate with healthcare providers regarding payer coverage criteria and missing submission information • Handle inbound and outbound inquiries, collect data, document follow-up calls, patient inquiries, outcomes, clinical notes, and medical-record/chart reviews • Gather, analyze, and prepare data for Quarterly Business Reviews and client meetings • Participate in program-specific customer meetings and training sessions • Report patient Adverse Drug Events according to manufacturer requirements • Attend manufacturer conferences, customer meetings/training, and QBRs, including requested in-person travel • Complete special projects and other assigned duties

🎯 Anforderungen

• Minimum associate degree and professional nursing license • Registered Nurse License in good standing in the state in which you work • Compact State License required for eligible-state telephonic clinical roles, with willingness to obtain it when applicable • California State License required for telephonic clinical roles • Willingness to obtain additional single-state licenses upon request • Previous experience in the PBM and/or healthcare industry • Ability to research, analyze, prepare reports, and document clearly • 2+ years’ experience in a customer service setting, preferably in a call center environment • Proficiency in Microsoft Office applications, specifically Excel • Ability to handle a fast-paced environment and multitask • Strong written and verbal communication skills • Advanced problem-solving and troubleshooting skills, including critical thinking • Strong attention to detail and relationship-building skills • Ability to train other team members • Comfort spending most of the workday on the phone in inbound/outbound queues and virtual calls • Ability to remain at a workstation throughout the workday • Availability for shifts scheduled between 8:00 AM and 9:00 PM ET • Availability for a rotating Saturday shift approximately every 5 weeks and select rotating holidays • Availability to start Tuesday, September 8, 2026 • No scheduled time off during the 7-week training program

🏖️ Vorteile

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match • Tuition reimbursement 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 • Saturday hours paid as overtime