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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex patient and provider issues within the healthcare industry, with a strong focus on reimbursement policies and data analysis for effective program implementation and ongoing utilization.
Highest-signal resume keywords
Healthcare Industry ExperienceAdvanced Knowledge Of Medical Insurance TerminologyCustomer Service Resolution SkillsData Analysis And Report PreparationTeam Leadership And Training
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisReport PreparationReimbursement Policy InterpretationProgram ImplementationProblem SolvingMulti-taskingAttention To DetailMicrosoft Office Proficiency
Soft Skills
Strong Written CommunicationStrong Verbal CommunicationTeam Building Skills
Industry Keywords
PBMPatient Affordability OptionsField TeamsQuarterly Business ReviewsComplex Patient IssuesManufacturer-hosted Conferences
About the role
Key responsibilities & impact- Build and maintain relationships as the single point of contact with field teams for high-volume, key account manufacturers in an assigned territory
- Provide subject matter expert support for complex patient, provider, clinical, and reimbursement issues
- Represent UBC at manufacturer-hosted conferences
- Gather, analyze, and report case trend data for Quarterly Business Reviews and other manufacturer-required reports
- Build strong relationships with field-based partners
- Formulate processes and interpret reimbursement policies to resolve complex dispensing or referral issues
- Serve as SME on intricate cases for prescriber offices, manufacturer representatives, health plans, and patients
- Identify measures to avoid disruption in drug therapy and identify patient affordability options
- Assist manufacturer field teams with program launch implementation and ongoing therapy utilization through education and training materials
- Provide Program Specific Processes support and contribute to special projects enhancing program workflows, reimbursement activities, and ongoing utilization
- Gather, analyze, and prepare data for QBRs, FDA requirements, special projects, and other reports
- Perform other duties as assigned
Requirements
What you’ll need- Associate or bachelor’s degree preferred
- 2-4 years of relevant working experience
- Previous experience in the PBM and/or healthcare industry preferred
- Demonstrated team lead experience preferred
- Demonstrated customer service resolution skills
- Proficient in Microsoft Office applications
- Advanced knowledge of medical insurance terminology
- Ability to handle a fast-paced environment
- Strong written and verbal communication skills
- Advanced problem solving and troubleshooting skills
- Strong attention to detail and ability to multi-task
- Strong team building skills and the ability to train other team members
- Research, analysis, report preparation and documentation skills
- Ability to work an 8-hour shift between 8:00 AM and 8:00 PM; start times vary depending on need
- Training availability for 6 weeks from 8:00 AM to 5:00 PM EST
Benefits
Comp & perks- Remote opportunities
- Competitive salaries
- Growth opportunities for promotion
- 401K with company match
- Tuition reimbursement
- Flexible work environment
- 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