Rare Disease Case Manager/Tennessee

UCB – Inspired by patients. Driven by science. Working at UCB, you will discover a place where you can grow and express your full potential while living the life you want. You’ll do this in keeping with one simple question "how does my work create value for people living with severe diseases?" We cultivate a caring and collaborative culture based on scientific rigor and a constant curiosity to learn, adapt and grow. Our aim is to provide an optimal individual experience by caring about and valuing our employees – just as we do for the patients we serve. We're here because we want to make our mark for patients by pushing the boundaries of what is possible. To achieve our ambition, we welcome talented individuals with diverse backgrounds and experiences - not just the brightest minds, but those who truly care about making a meaningful difference. With a team of approximately 7,600 employees and operations in more than 40 countries, we are a global biopharmaceutical company focused on creating value for people living with severe diseases in immunology and neurology. We work with stakeholders to address the unmet needs of patients and caregivers, helping them to achieve their goals and to live the lives they want. UCB is on a journey to become the patient-preferred biopharma leader by delivering medicines and solutions that improve lives. Our commitment to value is a promise to bring together the talent, expertise, tools and scientific know-how required to serve patients in need.

We are looking for a Rare Disease Case Manager for the Central Region who is adaptable, highly collaborative and solution oriented to join us in our Patient Support Program. This position can be remote/virtual, based in the US supporting the Central & Eastern time zones. The standard hours of operations for this role is 8:30am to 5:00pm CST or EST dependent upon place of residence. This remote role requires twenty percent face-to-face interactions and can be based on the following metropolitan areas and subject to change: Florida, Atlanta GA, Lexington KY, Memphis & Knoxville TN, and Birmingham AL. About the role: The Rare Disease Case Manager serves as a subject matter expert on access & reimbursement who has extensive expertise in navigating insurance and access-related barriers. This role is designed to help patients gain access to prescribed UCB rare disease products and patient support, serving as the escalation point for difficult access related patient cases. This individual will share insights and collaboratively coordinate services with internal and external program partners. This role requires significant knowledge in the market access and reimbursement landscape encompassing procurement, payer policies and coverage, benefit design, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, site of care differences and nuances. Who you’ll work with: Case Managers Rare Reimbursement Executives Care Coordinators Cross functional partners including specialty pharmacies, HUB partners, payers, and as needed, physicians, office coordinators, nurses and pharmacists

Serve as expert on challenging market access patient cases specific to benefit verifications, product procurement processes, reimbursement information, billing, coding, and coverage details, after clinical decisions have been made by the prescriber. Coordinate the benefit verification referral process with UCB’s service center(s) and deliver timely and accurate follow up to account stakeholders to help ensure patient access to UCB medicines. Provide appropriate Appeal & Claims Denial Support Understand, provide quality control, communicate patient specific insurance coverage along with access and affordability options to team to support patients Establish self as national and regional expert on payer trends, product access, and reporting reimbursement trends and/or delays (i.e., denials, underpayment, access delays, etc.) Coordinate and collaborate with UCB Rare Reimbursement Executives, Care Coordinators, specialty pharmacies, needed HCP (Health Care Professional) offices, infusion providers, other key personnel on complex cases which require strategic intervention Manage and facilitate specialty pharmacy relationships, responsible for dispersing updates to team members and ensuring forward patient momentum Ensure understanding of the buy and bill reimbursement process, specialty pharmacies practices, field reimbursement support activities, and patient support programs