Case Manager, Reimbursement

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

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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

• Provide day-to-day case management oversight and coordination of assigned caseload • Ensure case elements and tasks are completed timely and cases move through the required process • Act as the primary contact for prior authorization and appeal processing communications • Communicate patient benefits and responsibility accurately and promptly • Assess and refer patients for special programs and services • Perform quality checks on cases and report trends to leadership • Troubleshoot complex cases across multiple disease states • Interface with internal and external stakeholders to support optimal start to therapy • Report patient-experienced Adverse Drug Events according to pharmaceutical requirements • Recognize product quality complaints and forward caller or written information to the manufacturer • Maintain good housekeeping techniques and adhere to quality and production standards • Perform other duties as assigned

🎯 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 • 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 • Strong critical thinking skillset • Ability to multi-task • Must be available to work a full-time assigned schedule between 11:00 AM and 8:00 PM Eastern Time, Monday through Friday • Candidates outside the Eastern Time Zone must be able to work the assigned shift based on Eastern Time business hours • Must be willing and able to travel as needed • Must comply with applicable company, state, and federal safety and environmental programs and procedures

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match • Tuition assistance (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 • Occasional travel may be required based on client, business, or training needs

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