Sr. 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 UBCwe 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!** **We are currently seeking Sr. Case Manager candidates with a strong background in pharmacy reimbursement hubs \- working with Pharmacy Benefit Management, complex reimbursement case management, and the ability to provide top notch customer service to our patients.** **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 Sr Case Manager is responsible for ensuring the ultimate successful and timely completion of cases to include, but not limited to: prior authorizations, reauthorizations and appeals have accurate documentation of payer information and patient status. The Sr. Case Manager may also serve as the account manager for prescribers providing them updates on patient cases, providing resourceful information as needed and within program guidelines, and serving as an advocate for patients. Additionally, the Sr. Case Manager may interact with a client’s field team to partner on sharing best practices, territory trends, resolve escalations or prescriber related issues. Sr. Case Managers are also integral in the data analysis of process evaluation to include quality and efficiency, and can serve as a mentor and/or lead for other case managers. This role can be client facing and may require presentations on various topics that are related to program education, program improvements or other topics as assigned. Lastly, Sr. Case Managers can serve in a lead capacity to ensure that operations are running smoothly which includes managing work in progress to acceptable standards, and provides mentorship to those case managers who may have opportunities from a productivity or quality perspective. **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 c