Rare Disease Case Manager
2 days ago
We are seeking a highly skilled Rare Disease Case Manager to join our team at UCB. As a subject matter expert on access and reimbursement, you will play a critical role in helping patients gain access to our rare disease products and patient support services.
Key Responsibilities- Serve as a subject matter expert on challenging market access patient cases, providing expert guidance on benefit verifications, product procurement processes, reimbursement information, billing, coding, and coverage details.
- Coordinate the benefit verification referral process with UCB's service center(s) and deliver timely and accurate follow-up to account stakeholders to ensure patient access to UCB medicines.
- Provide appeal and claims denial support, working closely with internal and external partners to resolve complex reimbursement issues.
- Establish yourself as a national and regional expert on payer trends, product access, and reporting reimbursement trends and/or delays.
- Collaborate with UCB Rare Reimbursement Executives, Care Coordinators, specialty pharmacies, and other key personnel on complex cases requiring strategic intervention.
- Manage and facilitate specialty pharmacy relationships, responsible for disseminating updates to team members and ensuring forward patient momentum.
- Ensure a deep understanding of the buy and bill reimbursement process, specialty pharmacies practices, field reimbursement support activities, and patient support programs.
- Relevant Bachelor's degree
- 8-10 years of experience in pharma, biotech, or healthcare space
- 5+ years of Case Manager experience supporting market access, site of care selection
- Excellent working knowledge of evolving reimbursement landscape and the practice management environment
- Above-average skills with technology, including ability to quickly learn and accurately utilize contact center systems, CRM, and virtual platforms
- Excellent virtual interaction and communication skills - both written and verbal
- Demonstrated flexibility, adaptability, and the ability to prioritize tasks and meet customer demands
- Masters Preferred, or extensive relevant experience
- Rare disease and/or infusion experience
- Nursing degree/healthcare clinical experience
- Experience in managing access complexities associated with a new to market medication
- Experience with specialty pharmacy products / products acquired through specialty pharmacy networks or specialty distributors (buy and bill)
- Closely connected to the ever-changing payor medical benefit policy arena
This position reasonably anticipated base salary range is $121,900-$160,000 per year. The actual salary offered will take into account internal equity and may also vary depending on the candidate's geographic region, job-related knowledge, skills, and experience, among other factors.
At UCB, we don't just complete tasks, we create value. We aren't afraid to push forward, collaborate, and innovate to make our mark for patients. We have a caring, supportive culture where everyone feels included, respected, and has equitable opportunities to do their best work.
We are an Equal Opportunity Employer, committed to diversity and inclusion. We adhere to Affirmative Action principles, ensuring that all qualified applicants will receive equal consideration for employment without regard to neurodiversity, race/ethnicity, color, national origin, religion, gender, pregnancy, marital status, sexual orientation, gender identity/expression, age, disability, genetic information, military service, covered/protected veteran status, or any other federal, state, or local protected class.
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