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Job Details

Case Manager

Company: United BioSource Corporation.
Location: Lake Mary, FL
Reference: REQ20015520
Closing Date: 17 Aug 18
Type: Full Time
Salary (£): Competitive
Benefits:

Job Summary:

POSITION SUMMARYThe primary purpose of this position is to provide day to day case management oversight and coordination of assigned case load 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. ...

Requirements:

POSITION SUMMARY

The primary purpose of this position is to provide day to day case management oversight and coordination of assigned case load 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 Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained timely as well as ensuring accurate documentation of payer information and patient status.  In addition, the Case Manager is responsible for completing a prescreen to determine eligibility for additional services such as Injection Services, Copay, PAP if applicable.

ESSENTIAL FUNCTIONS

  • Provide day to day oversight and coordination of case load 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 reports 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.  
  • Other duties as assigned.                  
  • 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. 

QUALIFICATIONS

  • BS degree or six years of relevant working experience. 
  • 0 - 2 years relevant experience in pharmacy benefit management.
  • Previous insurance experience required.
  • Medical Assistant, Social Worker or Sr. Reimbursement Specialist preferred.
  • Proficient in MS Office applications.
  • Knowledge of medical terminology and claims processing jargon.
  • Excellent written/verbal communication to include providing clear instructions.
  • Ability to multitask.

ABOUT UBC

United BioSource Corporation (UBC) is a leading provider of pharmaceutical support services, partnering with life science companies to make medicine and medical products safer and more accessible. Our services support the full lifecycle of medicine and medical products, including development, commercialization, and long-term value and safety.

While UBC offers employment within Patient Support, Nursing, Pharmacy and Corporate, two main focus areas for the company are Clinical Development & Research and Safety & Risk Management. Members of the Clinical Development and Research teams help evaluate study protocol, target study population, recruit physicians and patients, and collect, clean, validate and report data. As a result, sponsors are able to submit findings to regulatory authorities or make a no-go decision in a timely and clear-cut manner. Additionally, our Safety and Risk Management teams develop, deliver, and report evidence to reinforce safe and appropriate product use.

Through our Patient Access services, we help patients begin therapy quickly and remain on therapy, building strong relationships with patients to ensure optimal care.
 

UBC is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
 

Apply for this job: Case Manager

Contact Information:

Address:  United BioSource Corporation (UBC)
Europe Headquarters
26-28 Hammersmith Grove
London
United Kingdom
W6 7HA
England
Tel:  +44 (0)20 8834 0100
Website:  Visit Our Web Site

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