Senior Case Manager - Remote Reimbursement & Advocacy

United Biosource Corporation; United States; À distance; USD 90 000 - 120 000; Plein temps

Avantages offerts par ce poste

Remote opportunities

Growth opportunities for promotion

401K with company match

Tuition reimbursement

Flexible work environment

20 Days PTO (Paid Time Off)

Paid Holidays

Employee assistance programs

Medical, Dental, and vision coverage

HSA/FSA

Wellness program

Adoption assistance

Short term disability

Long term disability

Life insurance

Résumé du poste

United Biosource Corporation (UBC) is hiring a Senior Case Manager for reimbursement hubs, supporting Pharmacy Benefit Management and complex case management. This role emphasizes patient advocacy, payer coordination, and cross-functional collaboration with field reimbursement teams.

Remote position available in the United States with opportunities to mentor others, analyze process quality, and drive program improvements in a fast-paced environment.

Qualifications

• Bachelor’s degree or six years of relevant working experience.
• 5+ years of experience in pharmacy benefits management or patient support (HUB).
• 3+ years in pharmacy/medical benefit verifications, prior authorization and/or appeals.
• Proficient in Microsoft Office applications.
• Knowledge of medical and claims processing terminology.
• Excellent written and verbal communication skills.
• Strong critical thinking and ability to multi-task.

Responsabilités

• 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.
• Advocate for patients and coordinate access services within guidelines.
• Perform quality checks and report trends to leadership.
• Maintain good housekeeping and comply with safety and quality standards.
• Troubleshoot complex cases across disease states with stakeholders.
• Collaborate with senior case managers and leadership on quality initiatives.
• Prepare and present team huddles and client presentations (monthly).

Connaissances

Critical thinking

Multi-tasking

Communication skills

Attention to detail

Formation

Bachelor’s degree or 6 years exp

Outils

Microsoft Office

Description du poste

United Biosource Corporation (UBC) is hiring a Senior Case Manager for reimbursement hubs, supporting Pharmacy Benefit Management and complex case management. This role emphasizes patient advocacy, payer coordination, and cross-functional collaboration with field reimbursement teams.

Remote position available in the United States with opportunities to mentor others, analyze process quality, and drive program improvements in a fast-paced environment.