Case Manager at UBC advocating for patients' access to specialty pharmaceuticals. Ensuring timely coordination of case elements and communication with stakeholders while enhancing patient experience.
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.
Requirements
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
Proficient in Microsoft Office applications
Knowledge of medical and claims processing terminology
Excellent written/verbal communication to include providing clear instructions.
Global Supplier Quality & Development Manager responsible for supplier quality strategy and performance improvement in oil and gas. Collaborating with Supply Chain, Engineering, and Operations for global supplier capabilities.
Construction Contracts Manager at Cumming Group managing contract lifecycle across construction projects. Implementing tracking processes and ensuring compliance while overseeing service level agreements.
Senior Contracts Manager at Cumming Group handling contract management for capital projects with client - facing responsibilities. Ensuring compliance with regulations and best practices in a dynamic environment.
Adviser Training and Transition Manager facilitating training for financial advisers at Schroders Personal Wealth. Engaging learning experiences and hands - on support for new advisers in their roles.
Manager of Corporate Development at TransTech executing acquisition strategy and financial analysis. Collaborating with senior leadership to identify opportunities, evaluate investments, and drive value creation.
Manager of Corporate Development at TransTech overseeing acquisition strategy and financial analysis. Leading evaluation and execution of acquisitions to drive growth and long - term value creation.
District Manager at autobiz for revenue growth in automotive partnerships. Identify and manage partner relations and financial performance in assigned territory.
Sales Manager focusing on ultrasonic metal welding solutions in the battery sector. Collaborating with teams to achieve sales targets and enhance client relationships while managing projects.
Service Delivery Manager OT responsible for improving OT operations at Alliander. Focus on energy infrastructure and developing new work methods in Haarlem/Duiven.
Property Manager overseeing the day - to - day operations of over 250 apartment communities. Providing exceptional service and maintaining compliance with affordable housing regulations in Columbia, MO.