Remote Case Manager: Pharmacy Benefits & Patient Support

United Biosource Corporation; United States; Remote; USD 55,000 - 85,000; Full time

Benefits offered by this job

Remote opportunities

Growth opportunities for promotion

401K with company match

Tuition reimbursement

Flexible work environment

20 Days PTO

Job summary

UBC is seeking a Case Manager for its Remote, US-based team. You will oversee day-to-day caseload management, coordinate prior authorizations and appeals, and serve as the primary contact for patients and providers.

Responsibilities include communicating benefits, identifying program referrals, and ensuring timely documentations. Qualifications include a bachelor’s degree or 6 years of relevant experience, 2+ years in pharmacy benefit management preferred, proficiency in MS Office, and strong

Qualifications

• 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
• Certification preferred but not required
• Proficient in Microsoft Office applications
• Knowledge of medical and claims processing terminology
• Excellent written/verbal communication to include providing clear instructions
• Must possess a strong critical thinking skillset along with the ability to multi-task

Responsibilities

• 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.

Skills

Communication skills

Critical thinking

Multitasking

Problem solving

Attention to detail

Education

Bachelor’s degree or six years of relevant working experience

Tools

MS Office

Job description

UBC is seeking a Case Manager for its Remote, US-based team. You will oversee day-to-day caseload management, coordinate prior authorizations and appeals, and serve as the primary contact for patients and providers.

Responsibilities include communicating benefits, identifying program referrals, and ensuring timely documentations. Qualifications include a bachelor’s degree or 6 years of relevant experience, 2+ years in pharmacy benefit management preferred, proficiency in MS Office, and strong