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.
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If you are seeking a career that will challenge, inspire, and reward you, join us at UBC!
Job Title:
PAG04G- Specialty Liaison – Patient Access
Brief Description:
Serves as a single point of contact for program specific engagements with Specialty Pharmacies (SPs), Specialty Distributors (SDs) and/or the manufacturer’s field teams. Responsible for reviewing, analyzing, identifying, and solving problematic issues and escalations. Provide timely and accurate reconciliation of SP and/or SD dispensing/shipping information, builds and develops strong partner relationships, and supports all activities that facilitate patient access. Utilize knowledge of specialty pharmacy processes, dispensing patterns and reimbursement issues to effectively detect and investigate potential gaps in care.
Specific job duties:
- Adhere to principles as stipulated by program specific contractual agreements and company practices.
- Provide consistent and effective communication to all appropriate stakeholders as first line support/single point of contact with contracted specialty pharmacies and/or specialty distributors and manufacturer field teams.
- Primary resource managing the coordination of specialty pharmacies (SP) and specialty distributors (SD) within HUB operations; including support for and coordination of delivery (product, supplies, device, etc.).
- Attends manufacturer hosted conferences, customer meetings/training, and QBRs as requested (including requests to travel for in-person attendance).
- Identify, investigate, and resolve escalated issues and cases related to complex reimbursement and/or REMS compliance from both internal and external stakeholders.
- Identify trends, investigate data, and resolve escalated issues and cases related to complex reimbursement and/or REMS compliance from both internal and external stakeholders including prior authorization denials and/or appeals.
- Gathers, analyzes, and prepares data, for Quarterly Business Reviews (QBRs), Compliance Committee Meetings, FDA requirements, and other special projects and reports as applicable.
- Review all incoming data from partners, review exception errors generated from each contracted data feed and restatements of records, and outreach to contracted SPs and/or SDs related to outstanding restatements (including hosting partner teleconferences). Ensure all contractual timeframes related to SP and/or SD data review are successfully met, as applicable.
- Lead weekly (more or less frequently as needed) calls with each contracted SP and/or SD to review identified issues with shipment files and/or patient status files to include those patients at risk of lapsing in therapy, shipment and/or insurance delays, missing shipment and updates.
- Provide timely tracking of receipt of referral, status of contracted SP activity, potential interruptions in therapy, and triage records in timely and accurate manner (if applicable).
- Provide training and education to contracted SPs and/or SDs about the program, processes, and data requirements.
- Special projects and other duties as assigned.
Supervisory Responsibility:
N/A
Desired Skills and Qualifications:
- Associate or Bachelor’s Degree preferred with relevant work experience
- 2+ years’ experience in a customer service setting demonstrating advanced skills in issue resolution, preferably in a call center environment
- Previous experience in the PBM and/or healthcare industry preferred
- Proficient in Microsoft Office applications, specifically Excel
- Ability to handle a fast paced environment and multi-tasking
- Strong written and verbal communication skills
- Advanced problem solving and trouble-shooting skills including critical thinking
- Strong attention to detail and relationship building skills and the ability to train other team members
- Competent ability to research, analyze, prepare reports, and document clearly
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
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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