Case Manager – Reimbursement

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

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 oversight and coordination of assigned caseload • Ensure case elements and tasks are completed timely and cases move through the process as required • Act as the single point of contact for prior authorization and appeal processing communications • Communicate with patients, healthcare providers, field reimbursement representatives, and other external stakeholders • Communicate patient benefits and responsibility accurately and timely • Assess and refer patients for special programs/services when appropriate • Perform quality checks on cases and report trends to leadership • Adhere to quality and production standards and applicable safety and environmental procedures • Troubleshoot complex cases across multiple disease states • Interface with internal and external stakeholders to support optimal start to therapy • Report Adverse Drug Events according to pharmaceutical requirements • Recognize product quality complaints and forward caller/written information to a manufacturer • 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 • Shift pattern of either 11:00am to 08:00pm EST

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match • Tuition reimbursement • Flexible work environment • Discretionary PTO (Paid Time Off) • 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

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume