Pharma Case Manager - Remote Patient Support & Access

UBC; Town of Florida (NY); Hybrid; USD 55,000 - 85,000; Full time

Benefits offered by this job

Remote opportunities

Competitive salaries

Growth opportunities for promotion

401K with company match*

Tuition reimbursement

Flexible work environment

Discretionary PTO (Paid Time Off)

Paid Holidays

Employee assistance programs

Medical, Dental, and vision coverage

HSA/FSA

Telemedicine (Virtual doctor appoint­,

Wellness program

Adoption assistance

Short term disability

Long term disability

Life insurance

Discount programs

Job summary

UBC, a pharmaceutical support industry leader, is seeking a Case Manager to oversee day-to-day caseload management, coordinate tasks, and serve as the primary resource for patients, healthcare providers, and field reimbursement. This role supports timely prior authorizations, reauthorizations and appeals, while ensuring accurate payer documentation.

The incumbent will pre-screen for additional services, such as injection programs and patient assistance, and will report to leadership on case

Qualifications

• Bachelor’s degree or six years of relevant working experience.
• Two or more years of PBM experience preferred.
• Certification preferred but not required.
• Proficient in Microsoft Office; knowledge of medical terminology.

Responsibilities

• Provide day-to-day oversight and coordination of caseload to ensure timely completion.
• Serve as single point of contact for prior authorization and appeal communications.
• Communicate patient benefits and responsibility clearly.
• Assess and refer patients for special programs when appropriate.
• Performs quality checks on cases and report trends to leadership.
• Adhere to safety, quality and environmental programs and procedures.
• Troubleshoot complex cases with stakeholders to start therapy.
• Report Adverse Drug Events per regulatory requirements.
• Recognize product quality concerns and forward information to manufacturers.
• Other duties, as assigned.

Skills

Microsoft Office

Medical terminology

Communication skills

Critical thinking

Multi-tasking

Pharmacy benefit management

Education

Bachelor’s degree or six years of relevant working experience

Job description

UBC, a pharmaceutical support industry leader, is seeking a Case Manager to oversee day-to-day caseload management, coordinate tasks, and serve as the primary resource for patients, healthcare providers, and field reimbursement. This role supports timely prior authorizations, reauthorizations and appeals, while ensuring accurate payer documentation.

The incumbent will pre-screen for additional services, such as injection programs and patient assistance, and will report to leadership on case