Reimbursement Case Manager - Patient Access Services

March 24

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Logo of UBC

UBC

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.

Evidence Development • Modernized Study Design & Execution • Late-Stage Research • Risk Evaluation & Mitigation Strategies • Pharmacovigilance

📋 Description

• UBC is devoted to empowering health solutions for a better tomorrow. • The Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. • Provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. • Prioritize and enhance the patient experience by coordinating access to therapies and facilitating access to support services. • Act as the single point of contact responsible for prior authorization and appeal processing communications. • Communicate patient benefits and responsibilities timely and accurately. • Perform quality checks on cases and report trends to leadership. • Troubleshoot complex cases, ensure optimal start to therapy, and report Adverse Drug Events.

🎯 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 Annually (accrued) • 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

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