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Bilingual Case Manager, Reimbursement

United Biosource Corporation

1d ago

0ManagementRemote, USjobspy_indeed
remoteindeed

Job Description

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!** At UBC, the **Reimbursement Case Manager** serves as a **patient advocate**, removing barriers for patients accessing specialty pharmaceuticals. As the **single point of contact** you will provide **inbound and outbound phone support** to patients, caregivers, and providers to collaboratively determine **patient eligibility**. In addition to **prioritizing and** **enhancing the patient experience**, the reimbursement case manager will **coordinate** the **patient's access to therapies**, conduct the appropriate **follow ups**, and facilitate **access to support services** such as co\-pay assistance programs and patient assistance programs (PAP). **Location:** Remote, US **Hours: 11\-8pm EST** **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 with all applicable company, state and federal safety and environmental programs and procedures. * Troubleshoot complex cases, spanning multiple disease\-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy * Report Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements. * Recognize a product quality complaint and forward caller/written information to a manufacturer. * Other duties, as assigned. **Desired Skills and Qualifications:** * **Fluency in English and Spanish is required** * Bachelor’s degree or six years of relevant working experience * Two (2\) or more years of relevant experience in pharmacy benefit ma