Jobs in the United States

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Event Services Manager - Hotel del Coronado, A Curio Collection by Hilton
Hilton
Coronado, CA
Picture yourself brightening someone’s day. When you join our Hotels team, that’s exactly what you’ll do every time you come to work! As an Event Services Manager, you’re not just…
Added just now
Volunteer & Outreach Coordinator
Fuller Craft Museum
Brockton, MA
Partners with the Brockton Public Schools Art Department, alongside the Manager of Learning and Engagement, to coordinate tour dates and times, including volunteer coordination and day-of…
Added 4 mins ago
CATHETER COORDINATOR - Jeffersonville (11640)
FIRST UROLOGY P S C
Jeffersonville, IN
Schedule: Monday through Friday- In Office (Day Shift)
Added 4 mins ago
Lead Maintenance Technician - Olympus Carrington
Olympus Property
Pooler, GA
The Lead Maintenance Technician (Maintenance Supervisor) oversees the day-to-day maintenance operations of the apartment community and achieving property maintenance goals.
Added 4 mins ago
Safety Coordinator
Alterman Group Inc
Austin, TX
…site-specific safety plans. This role works closely with the Sr. Safety Manager, Field Recruiting and Labor Relations team, and project leadership to provide training, conduct site visits,…
Added 6 mins ago
Sr Manager, Business Transformation
United States
The Sr Manager, Business Transformation will serve as an internal strategic partner to Supply Chain leaders, helping turn complex business challenges into clear recommendations, business…
Added 6 mins ago
Manager, Business Transformation
United States
The Manager, Business Transformation will serve as an internal consulting partner to Supply Chain leaders, helping turn complex business challenges into clear recommendations, business…
Added 7 mins ago
SM
Manager, Bus Transportation
San Mateo County Transit District
San Carlos, CA · Millbrae, CA · South San Francisco, CA
- $68.82 to $96.35 USD / hour
The Manager, Bus Transportation reports to the Director, Bus Transportation, and is responsible for overseeing bus transportation services for San Mateo County Transit District (SamTrans).
Added 8 mins ago
Endoscopy tech 1
Advocate Health and Hospitals Corporation
United States
We are open M-F 7:00-18:00 & Saturday 7:00-15:30. Sunday we are closed. All federal Holidays we are closed, New Years Day, Memorial Day, July 4th, Labor Day, Thanksgiving, & Christmas Day.…
Added 8 mins ago
W
Non-CDL Driver
WM
Ambridge, PA
- $24 USD / hour
We Are Committed to Your Growth: Your Tomorrow Education Assistance Program, paid on-the-job training, and established career progression.
Added 8 mins ago
Senior Human Resources Generalist
GuideStar Eldercare
Crown Point, IN
Coordinate employee development plans and performance management. Performance review support: 30-60-90-day introductory period reviews, annual performance reviews, maintain and monitor…
Added 9 mins ago
Maintenance Shop Technician B
UBLIC SERVICES OF OHIO TRANSPORTATION, LLC
Sandusky, OH
POSITION SUMMARY: With direct supervision from a Lead Technician, Maintenance Supervisor or Maintenance Manager, a Maintenance Technician B performs repair and maintenance work on diesel…
Added 9 mins ago
BU Finance Mgr Hauling
IED WASTE SERVICES OF NORTH AMERICA, LLC
Erie, MI
POSITION SUMMARY: The Business Unit Finance Manager leads financial planning, forecasting, and performance management for their assigned markets. The incumbent partners closely with our…
Added 11 mins ago
A
Associate District Sales Manager | Lyric HCM
ADP
Ny Home Office, NY
- $62,700 to $124,700 USD / year
ADP is hiring an Associate District Sales Manager | Lyric HCM
Added 11 mins ago
EN
Case Manager - Suffolk Transitional Case Management (SUD)
EAC Network
Central Islip, NY
- $27 USD / hour
…Long Island and NYC, is looking for a dedicated full time Case Manager to join our Suffolk Transitional Case Management Substance Use Disorder…
Added 11 mins ago
BT
Tire Technician
Belle Tire
Terre Haute, IN
- $15 to $17.5 USD / hour
Perform other duties as assigned by your manager
Added 12 mins ago
K
Safety Specialist 1 - Eastern District
Kiewit
Astoria, NY
- $72,000 to $85,000 USD / year
Collaborate with the craft every day in the field to encourage buy-in of our safety program and to support craft ownership of the safety program
Added 12 mins ago
B
Retail Front End Supervisor - Full-Time
Burlington
Lawrence, NY
- $19 to $21 USD / hour
- Full-time
At Burlington, we embrace the many facets of diversity that strengthen our communities where we live and work every day. If you want to grow your retail career with a caring and inclusive…
Added 12 mins ago
CHMC - Nurse Manager
Claxton-Hepburn Medical Center
Ogdensburg, NY
CHMC – Mental Health Unit– Nurse Manager– Full Time - Day Shift–-Requisition 9857
Added 12 mins ago
MP
Community Manager
Morgan Properties
North Chili, NY
- $63,000 to $67,000 USD / year
Community Manager | Union Square Apartments | North Chili, NY
Added 12 mins ago
JH
Stocker - Seafood
Jetro Holdings, Inc
Mount Vernon, NY
- $17.95 to $18.55 USD / hour
…products, at competitive prices, in the quantities they need, every day of the week. We are a privately-owned, multi-billion-dollar company and operate 150+ warehouses & distribution…
Added 12 mins ago
RN Unit Manager
Living Legends Health
Fishkill, NY
Taconic Rehabilitation and Nursing at Hopewell is looking to add an RN Unit Manager to its nursing leadership team. In this role, you'll oversee the clinical operations of an assigned…
Added 12 mins ago
HW
5082 - Assistant Store Manager PT
Hat World Inc.
Naples, FL
- $16 USD / hour
Act as Manager on duty for any employee scheduling issues, customer complaints, etc. when Store Manager is not present.
Added 12 mins ago
V
Entry-level Lube Tech/Technician
Valvoline
Fayetteville, NY
- $18.25 USD / hour
Your road to VIOC doesn’t require previous automotive experience. Through our award-winning training program, we’ll teach you how to:
Added 12 mins ago
Day Habilitation Manager-Human Services
The Arc of Chemung-Schuyler Counties Chapter NYSAR
Watkins Glen, NY
The Arc Chemung-Schuyler is looking for a compassionate, organized, and dependable Day Habilitation Manager to oversee the day-to-day operations of our Day Habilitation Program in Watkins…

Closed listing

United Biosource Corporation

Case Manager, Reimbursement

Remote, United States

This opening has closed.

The original listing is kept below for reference.

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Job details

Posting language: English

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Original job description

Archived listing. The details below describe a past opening.

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC!

This opportunity requires the successful individual to work a shift pattern of 11:00am to 08:00pm EST

Brief Description:

The primary purpose of this position is to provide day-to-day case management oversight and coordination of assigned caseload 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 in a timely manner, as well as ensuring accurate documentation of payer information and patient status. In addition, the Case Manager is responsible for completing a pre-screen to determine eligibility for additional services such as injection services, co-pay mitigation, and patient assistance programs (PAP), if applicable.

Specific job duties:

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.

Supervisory Responsibility:

N/A

Desired Skills and 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

Benefits:

At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally.

Here are some of the exciting perks UBC offers:

Remote opportunities
Competitive salaries
Growth opportunities for promotion
401K with company match*
Tuition reimbursement
Flexible work environment
Discretionary PTO (Paid Time Off)
Paid Holidays
Employee assistance programs
Medical, Dental, and vision coverage
HSA/FSA
Telemedicine (Virtual doctor appointments)
Wellness program
Adoption assistance
Short term disability
Long term disability
Life insurance
Discount programs

UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.

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More about this job

Skills

Case management
Documentation
Statistical quality control
Housekeeping
Troubleshoot
Microsoft Office
Claims processing
Communication skills
Critical thinking

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