Case Manager, Reimbursement

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.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.

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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 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 • Troubleshoot complex cases spanning multiple disease states • Interface with internal and external stakeholders to ensure optimal start to therapy • Complete pre-screening to determine eligibility for injection services, co-pay mitigation, and patient assistance programs when applicable • Maintain accurate payer information and patient status documentation • 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 • Experience in full benefits investigation • PAP experience is 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 • Salesforce experience preferred • Must comply with applicable company, state and federal safety and environmental programs and procedures • Must report Adverse Drug Events in accordance with pharmaceutical requirements • Must recognize product quality complaints and forward caller/written information to a manufacturer

🏖️ Benefits

• Remote opportunities • Growth opportunities for promotion • 401K with company match • Tuition reimbursement • Flexible work environment • 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 program