Remote Case Manager, Reimbursement (Evening Shift)

UBC; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote opportunities

401K with company match*

Tuition assistance (after 90 days)

Flexible work environment

Paid Holidays

Medical, Dental, and vision coverage

Job summary

UBC is seeking a Case Manager, Reimbursement for an all-virtual US-based role accepting remote candidates. The position focuses on day-to-day caseload oversight, prior authorizations, reauthorizations, and appeals, ensuring timely patient access.

The candidate should have PBM experience, be able to travel occasionally, and communicate clearly with patients and providers. The role emphasizes collaboration with reimbursement teams, quality checks, and program eligibility assessments, contributing

Qualifications

• Bachelor's degree or 6+ years of relevant experience in PBM.
• 2+ years of relevant experience in pharmacy benefit management preferred.
• Remote position with occasional travel as required.
• Proficient in Microsoft Office and strong written/verbal communication.

Responsibilities

• Provide day-to-day oversight and coordination of caseload to ensure tasks are completed.
• Serve as single point of contact for prior authorization and appeal communications.
• Communicate patient benefits and responsibilities clearly and timely.
• Assess and refer patients for special programs/services when appropriate.
• Perform quality checks on cases and report trends to leadership.
• Adhere to safety, quality, and regulatory requirements in all activities.
• Handle complex cases spanning multiple disease states with stakeholders.
• Document and report adverse drug events as required.

Skills

Communication skills

Critical thinking

Multi-tasking

Microsoft Office

Travel willingness

Medical terminology

Claims processing

Education

Bachelor’s degree

Six years experience

Tools

Microsoft Office Suite

Job description

UBC is seeking a Case Manager, Reimbursement for an all-virtual US-based role accepting remote candidates. The position focuses on day-to-day caseload oversight, prior authorizations, reauthorizations, and appeals, ensuring timely patient access.

The candidate should have PBM experience, be able to travel occasionally, and communicate clearly with patients and providers. The role emphasizes collaboration with reimbursement teams, quality checks, and program eligibility assessments, contributing