United Biosource Corporation - UBC

Title: Sr. Reimbursement Specialist Location: United States Remote Job Description: 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 of Respect, Accountability, Innovation, Quality, Integrity, and Collaboration. 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! Brief Summary: The primary goal of this position is to provide high quality customer service, effectively interface with patients, patient's families, national payers, home cares and medical doctor's offices to assist patient and medical provider in expediting the process starting the patient on client product, and ensure the highest level of reimbursement is attained for client product. Extensive knowledge in specialized functions with a wide and comprehensive acquaintance with and understanding of both general and specific aspects of the job and their practical application to complex problems and situations ordinarily encountered. Specific job duties: - Conduct benefit investigations, verify insurance benefits for patient and physicians' offices, and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval. - Accurately enter and maintain data as required in client database and patient files and utilize the client database to monitor outstanding items on each client case file. Ensure files are complete so team can determine the current status. - Participate in conference calls as needed with Client Sales Representatives, client management and physicians' offices regarding status of cases, drug orders and status of alternative funding. - Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient. - Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies. May serve as single point of contact for an assigned group of prescribers. - Identify and report events as required by the REMS requirements for specified medication. Recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer. - Educate patients, prescribers, and others regarding program requirements, and facilitate referrals. Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures. Desired Skills and Qualifications: - High School Diploma/GED or equivalent experience - 4 - 6 years' experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement. Health Insurance claims or patient accounting experience a plus. - Computer proficiency in MS Office applications, with database experience a plus. - Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels. - Ability to manage multiple priorities and meet deadlines. - Detail oriented with good analytical skills. - Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred. 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) OR 20 days PTO *note: JD should include one or the other. - 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. #LI-Remote #LI-MR1

Title: Sr. Case Manager, Reimbursement Location: United States Regular Client Services Requisition ID: 7338 Job Description: 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! We are currently seeking Sr. Case Manager candidates with a strong background in pharmacy reimbursement hubs - working with Pharmacy Benefit Management, complex reimbursement case management, and the ability to provide top notch customer service to our patients. 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 Sr Case Manager is responsible for ensuring the ultimate successful and timely completion of cases to include, but not limited to: prior authorizations, reauthorizations and appeals have accurate documentation of payer information and patient status. The Sr. Case Manager may also serve as the account manager for prescribers providing them updates on patient cases, providing resourceful information as needed and within program guidelines, and serving as an advocate for patients. Additionally, the Sr. Case Manager may interact with a client's field team to partner on sharing best practices, territory trends, resolve escalations or prescriber related issues. Sr. Case Managers are also integral in the data analysis of process evaluation to include quality and efficiency, and can serve as a mentor and/or lead for other case managers. This role can be client facing and may require presentations on various topics that are related to program education, program improvements or other topics as assigned. Lastly, Sr. Case Managers can serve in a lead capacity to ensure that operations are running smoothly which includes managing work in progress to acceptable standards, and provides mentorship to those case managers who may have opportunities from a productivity or quality perspective. 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. - Serve as a patient advocate and resource for patients as they navigate through the reimbursement process while coordinating any additional patient access services within program guidelines. - 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. - Act as point of contact for case managers to assist with prior authorization and appeal requirements, provide guidance, answer process questions and address escalated issued when appropriate. Provides support for at-risk patients and prescribers to help mitigate any lapse in the start or continuation of therapy. - Collaborates with other senior case managers, managers and quality team on a monthly basis to review quality trends, creating process improvement initiatives for the next month. - Prepares and presents team huddles, and client presentations as deemed appropriate (minimum one presentation per month) - Other duties, as assigned. Desired Skills and Qualifications: - Bachelor's degree or six years of relevant working experience - Five (5) or more years of relevant experience in pharmacy benefit management, specialty pharmacy or patient support/access (HUB) services preferred - Three (3) or more years of relevant experience in pharmacy and/or medical benefit verifications, prior authorization and/or appeals required. - 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 - 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 - 20 Days 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. #LI-MR1 #LI-remote

Title: Fixed-Term Coordinating Center Associate Location: United States, Remote Job Description: Coordinating Center Associate - Customer Service Support 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! Please, note that this opportunity will be fixed-term for roughly 60 days with potential of transitioning to a regular/permanent opportunity. Location: Remote, US Start Date: 05/18/2026 Training: 8:00 AM-4:30 PM EST (3 to 6 weeks long) Primary shifts: 8:00 AM-4:30 PM EST or 9:00 AM-5:30 PM EST (rotating) Evening shifts: 10:00 AM-7:00 PM EST or 11:00 AM-8:00 PM EST, scheduled 1-5 times per month. Schedule is provided a month in advance. Brief Description: Provide consistent customer service support to all stakeholders for the assigned program(s) Specific Job Duties: - Handle inbound and outbound contacts from various sources (patients, healthcare providers, etc.) related to a specific and/or multiple UBC programs, as applicable. - Provide consistent customer service support to all stakeholders for the assigned program(s). - Working knowledge of program guidelines, medication, or disease being referenced in call scripts. - Conduct communication through various channels (phone, fax, email) to retrieve data or to address discrepancies in data received. - Complete full follow-up with regards to missing information from stakeholders, including data entry process, as applicable, documentation, and safety reporting per program guidelines. - Apply corrections and/or updates in the secured program applications and/or CTMS and appropriate documents, which have been identified through data verification or follow-up calls. - Escalate potential problems or issues that require management's immediate attention and provide a summary with appropriate detail to his/her direct supervisor. - Document all communications in the appropriate application contact log in an accurate, concise, and timely manner as defined in the Standard Operating Procedures and/or Project Specific Procedures. - When applicable, may assist in the process to recruit or initiate sites and coordinate launch activities. - Ensure all assigned project tasks are completed. - Provide new and/or updated training materials as needed. - Responsible for ensuring all program compliance duties (including re-education of stakeholders, documentation of non-compliant event, review of alerts/reminders, and healthcare provider follow-up) are completed. - When applicable, may be responsible for preparation of program compliance materials for client meetings. - When applicable, may be responsible for preparation and shipping of program materials and documenting action within the appropriate application/s. - When applicable, may be responsible for processing honorarium. - Review documents for program standards and take appropriate action. - Ensure data entry, filing, and data confirmation are completed accurately and in a timely manner, as applicable. - Other duties as assigned by the Program Manager, Associate Program Manager, Associate Manager, Coordinating Center, and/or Senior Manager, Coordinating Center and as determined by UBC SOPs. Required Skills and Qualifications: - High School Graduate; some college preferred - 3+ years of relevant experience - Customer service experience preferred - Proficient in multitasking and ability to prioritize tasks - Proficiency with personal computers including Microsoft Office - Excellent written and verbal communication skills - Ability to work on complex programs or multiple programs at the same time requiring critical thought processing - Ability to adapt in a dynamic work environment - Ability to maintain accurate information and make decisions with minimal supervision - Ability to work a flexible schedule that could include 24/7 on call coverage shifts 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 - 20 days PTO, 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. #LI-Remote

Title: Case Manager, Reimbursement Location: United States Job Description: 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! At UBC, the Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. As the single point of contact you will provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP). 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. Desired Skills and Qualifications: - Bachelor's degree or six years of relevant working experience - Six (6) 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 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 - 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. #LI-remote #LI-MR1