Case Manager, Reimbursement

*As a pharmaceutical support industry leader****, UBC*** *is devoted to* ***empowering health solutions for a better tomorrow****. We take* ***pride*** *in* ***improving*** *patient outcomes and* ***advancing healthcare.*** *At UBC**we provide services to enhance the entire drug development process and commercialization lifecycle \- From clinical trial support to real\-world evidence generation.* *Embark on a rewarding* ***career journey with UBC!******Grow*** *your career while making a meaningful* ***impact*** *on the* ***world*** *around you.* ***UBC*** *fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an* ***inclusive workplace*** *that fosters creativity.* *If you are seeking a career that will* ***challenge, inspire,*** *and* ***reward*** *you, join us at* ***UBC!*** **Case Manager, Reimbursement** Shifts: This position supports business operations between **8:00 AM and 9:00 PM Eastern Time**. Candidates must be available to work a full\-time assigned shift within these hours. Examples of potential schedules include: * 8:00 AM – 5:00 PM ET * 9:00 AM – 6:00 PM ET * 10:00 AM – 7:00 PM ET * 11:00 AM – 8:00 PM ET * 12:00 PM – 9:00 PM ET **Assigned schedules are determined based on business and client needs.** **Candidates residing outside of the Eastern Time Zone are welcome to apply but must be able to work their assigned shift based on Eastern Time business hours.** **Brief Description**: The primary purpose of this position is to provide day\-to\-day case management oversight and coordination of assigned caseload to ensure parties responsible for tasks are completing them timely, as well as act as a primary resource for patients, healthcare providers and field reimbursement. The Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained in a timely manner, as well as ensuring accurate documentation of payer information and patient status. In addition, the Case Manager is responsible for completing a pre\-screen to determine eligibility for additional services such as injection services, co\-pay mitigation, and patient assistance programs (PAP), if applicable. **Specific job duties:** * Provide day\-to\-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and ensure cases move through the process as required. * Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders. * Communicate patient benefits and responsibility timely and accurately. * Assess and refer patients appropriately for special programs/services when appropriate. * Performs quality checks on cases and report trends to leadership. * Responsible for good housekeeping techniques, adhering to quality and production standards while complying