Case Manager, Reimbursement

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.

We're looking for a Reimbursement Case Manager who serves as a patient advocate by removing barriers to patient access to specialty pharmaceuticals. As the single point of contact you will provide inbound and outbound phone support to patients, caregivers, and providers to collaborate on determining patient eligibility. You will prioritize and enhance the patient experience, coordinate patient access to therapies, conduct follow‑ups, and facilitate access to support services such as co‑pay assistance programs and patient assistance programs (PAP).

• Provide day‑to‑day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and 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 responsibilities timely and accurately.
• Assess and refer patients appropriately for special programs/services when appropriate.
• Perform 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 experienced by the patient in accordance with pharmaceutical requirements.
• Recognize a product quality complaint and forward caller/written information to a manufacturer.
• Other duties as assigned.

• 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 and verbal communication, including providing clear instructions.

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.

• Remote opportunities
• Competitive salaries
• Growth opportunities for promotion
• 401k with company match*
• Tuition reimbursement
• Flexible work environment
• 20 days PTO annually (accrued)
• 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.