Rare Disease Case Manager
2 days ago
The Rare Disease Case Manager will serve as a subject matter expert on access and reimbursement, navigating insurance and access-related barriers to help patients gain access to prescribed UCB rare disease products and patient support. This role is designed to escalate difficult access-related patient cases and provide insights and coordination with internal and external program partners.
Key Responsibilities
• Serve as an expert on challenging market access patient cases, providing benefit verifications, product procurement processes, reimbursement information, billing, coding, and coverage details.
• Coordinate benefit verification referrals 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, understanding and communicating patient-specific insurance coverage, access, and affordability options to the team.
• Establish oneself 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.
Requirements
• Relevant Bachelor's degree
• 8-10 years of experience in the pharma, biotech, or healthcare space
• 5+ years of case manager experience supporting market access, site of care selection
• Excellent working knowledge of the evolving reimbursement landscape and the practice management environment
• Above-average skills with technology, including the 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
Preferred Qualifications
• Master's degree or extensive relevant experience
• Rare disease and/or infusion experience
• Nursing degree/healthcare clinical experience
• Experience 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)
• Close connectivity to the ever-changing payor medical benefit policy arena
What We Offer
UCB is a global biopharmaceutical company focused on neurology and immunology. We offer a caring, supportive culture where everyone feels included, respected, and has equitable opportunities to do their best work. We 'go beyond' to create value for our patients, and always with a human focus, whether that's on our patients, our employees, or our planet. As an Equal Opportunity Employer, we are open to all talent and adhere to Affirmative Action principles.
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