Miami, Florida, USA
73 days ago
Rare Reimbursement Executive, Southern Florida

 

Make your mark for patients


We are looking for a Rare Reimbursement Executive, Southern Florida who is self-aware, patient centric and collaborative to join us in our Market Access and Affordability Team. This is a field-based position that requires up to 75% daily and overnight travel will cover Southern Florida is designed to support the Eastern Time Zone.

About the Role
You will ensure that appropriate patients have access to UCB rare disease products and Patient Services. You will also provide ethical commentary on local, regional, and national payer coverage and their pharmacy and medical policies to all engaged sites of care. You will leverage your knowledge in the market access and reimbursement journey encompassing procurement, payer policies and coverage, benefit design, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, site of care regulation/requirements, understanding of coding guidelines with demonstrated knowledge of the complex payer environment. You will relay detailed benefit information in order to maximize the Provider and Staff experience including market dynamics, coverage, billing, coding and reimbursement policies for all sites of care involved.

Who you’ll work with
Internally, you will work with stakeholders across Market Access, Sales, the Patient Assistance Program, Marketing and Compliance. Externally, you will work with sites of care, patients and their respective payer, specialty pharmacies and pharmacy benefit managers.

What you’ll do

Serve as a liaison to all engaged sites of care administering UCB rare disease product(s) through a patient’s medical benefit and pharmacy benefit.Provide support to patients and accounts specific to benefit verifications, product procurement processes, reimbursement information, billing, coding, and coverage details.Provide on-demand education, including Lunch and Learns or Dinner presentations, for office staff regarding Reimbursement and support services.Advises all sites of care on payer specific nuances related to utilization management protocols, appeals processes and the year -end re-authorization verification process.Work with all engaged sites of care to inform them on matters related to access and reimbursement of UCB rare disease products.Sole point of contact for all stakeholders should a Medical Claim denial be presented by a provider.Develop strategic coverage, access and reimbursement relationships with their local Medicare Part A/B Contractors and attends Medicare Part A/B Contractor open meetings.Provide coverage updates, policy changes and communications to internal UCB colleagues.Provide strategic coverage and reimbursement, benefit recertification support and marketplace feedback to internal colleagues aligned to their geographies.


Interested? For this role we’re looking for the following education, experience and skills

Bachelor’s degree required (Master’s preferred)2+ years’ Reimbursement/Account Management experience preferred8+ years of pharmaceutical or biotech experienceExcellent working knowledge of evolving reimbursement landscape and the practice management environmentNeurology, Rare Disease or buy and bill experience is preferredAbility to speak Spanish is preferred 

 

This positions reasonably anticipated base salary range is $152,000-$199,500 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.


 

Are you ready to ‘go beyond’ to create value and make your mark for patients? If this sounds like you, then we would love to hear from you! 

About us 
UCB is a global biopharmaceutical company, focusing on neurology and immunology. We are around 8,500 people in all four corners of the globe, inspired by patients and driven by science. 

Why work with us? 
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 ‘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. Working for us, you will discover a place where you can grow, and have the freedom to carve your own career path to achieve your full potential. 

As an Equal Opportunity Employer, we are open to all talent, and adhere to Affirmative Action principles. This ensures that all qualified applicants will receive equal consideration for employment without regard to neurodiversity, race/ethnicity, colour, 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. 
 
Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us on US-Reasonable_Accommodation@ucb.com for application to US based roles. Please note should your enquiry not relate to adjustments; we will not be able to support you through this channel.

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