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Subject: Job Opportunity for Morgantown Area
Date: Mon, 13 Jun 2011 13:11:46 -0400
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Thread-Topic: Job Opportunity for Morgantown Area
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From: "Riddle, Tara (UBC)" <[log in to unmask]>
To: <[log in to unmask]>
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Hi Jacki,

 

Could you please post the following to the listserv?  This is a great
opportunity for anyone looking for a career in the Morgantown area.
Persons who are interested in applying can go to www.unitedbiosource.com
, click on careers and search Job Group B.  Please let them know to
apply online.  

 

 

Job Title: 

Manager, Reimbursement Services 

Job Responsibilities: 

United BioSource Corporation (UBC), a wholly owned subsidiary of Medco
Health Solutions, Inc. is a global scientific and medical affairs
organization that partners with life science companies to make medicine
and medical products smarter for all stakeholders in the health care
landscape. The major components of UBC's business are as a leader in
late-stage clinical development; safety and risk management; health
economics; outcomes research; pricing and reimbursement and medical
publications and communications. 

Brief Description:

Handle the day-to-day activities of the reimbursement hotline (s) and/or
patient assistance program (s) to which the employee is assigned.
Handles moderately complex reimbursement cases by researching and
analyzing insurance issues related to the reimbursement of the products.
Manages the Specialty Pharmacy (s) to which program the employee is
assigned.

Specific Job Duties:

* Handles calls from healthcare professionals, patients, and sales
representatives
* Provides assistance with reimbursement inquiry requests
* Provides billing and coding information related to specific product
* Verifies patient insurance benefits
* Conducts general payer research
* Works with payers and healthcare professionals to resolve prior
authorization issues and/or appeals of denials
* Identifies complex cases and triages them appropriately to the next
level 
* Assists in the development of reimbursement tools, presentation
materials and program PSPs as requested by the Manager or Program
Manager
* Assists with reports using MS Word, Power Point, and MS Excel as
requested by the Manager or Program Manager
* Cultivates and manages relationships with key contacts at managed care
organizations, CMS and Medical Professional Societies
* Manages the Specialty Pharmacy (s) by conducting the weekly telephone
conferences
* Provides ongoing communication with the Specialty Pharmacy (s), as
needed to assist with the management of each case
* Maintains updated coverage for all Medicare, Medicaid, and private
payers
* Travels to and attends related meetings/conferences as required
* Other duties as assigned by management

Supervisory Responsibilities:

Although there are no direct reporting responsibilities of team members
to the Reimbursement Specialist and Specialty Pharmacy Liaison, they are
responsible for the mentoring PCS team members with regard to
reimbursement and specialty pharmacy issues. This position also provides
ongoing team performance issues to the manager and during the annual
evaluation process.

Qualifications: 

* Bachelors degree required, Masters degree preferred
* Clinical background or relevant industry experience required
* Knowledge of medical terminology preferred
* Excellent written and verbal communication skills
* Computer skills with specific aptitude in Microsoft Office
* Customer service experience, preferred
* Analytical thinking skills
* Ability to handle a fast-paced environment
* Professional phone manner
* Excellent problem solving and troubleshooting skills



 

Thank you,

Tara

 

Tara Riddle

Reimbursement Manager/Specialty Pharmacy Liaison
United BioSource Corporation
200 Pinecrest Plaza
Morgantown, WV  26505-8065
Phone: +1 304 291-7524 Ext. 1235
Fax: +1 304 292-6391
E-mail: [log in to unmask]
<mailto:[log in to unmask]> 

www.unitedbiosource.com <http://www.unitedbiosource.com/> 

 


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<P CLASS=3D"MsoNormal" STYLE=3D"MARGIN: 0in 0in 0pt"><SPAN STYLE=3D"FONT-FAM=
ILY: 'Times New Roman','serif'; FONT-SIZE: 12pt"><div class=3DWordSection1><=
p class=3DMsoNormal>Hi Jacki,<o:p></o:p></p><p class=3DMsoNormal><o:p>&nbsp;=
</o:p></p><p class=3DMsoNormal>Could you please post the following to the li=
stserv?&nbsp; This is a great opportunity for anyone looking for a career in=
 the Morgantown area.&nbsp; Persons who are interested in applying can go to=
 <a href=3D"http://www.unitedbiosource.com">www.unitedbiosource.com</a> , cl=
ick on careers and search Job Group B.&nbsp; Please let them know to apply o=
nline.&nbsp; <o:p></o:p></p><p class=3DMsoNormal><o:p>&nbsp;</o:p></p><p cla=
ss=3DMsoNormal><o:p>&nbsp;</o:p></p><table border=3D0 cellpadding=3D0 cellsp=
acing=3D0 class=3DMsoNormalTable style=3D'width:100.0%;border-collapse:colla=
pse' width=3D"100%"><tr><td nowrap style=3D'padding:2.25pt 2.25pt 2.25pt 2.2=
5pt' valign=3Dtop><p class=3DMsoNormal><b><span style=3D'font-size:10.0pt;fo=
nt-family:"Arial","sans-serif";color:#333333'>Job Title: <o:p></o:p></span><=
/b></p></td><td style=3D'padding:2.25pt 2.25pt 2.25pt 2.25pt' valign=3Dtop><=
p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:"Arial","san=
s-serif";color:#333333'>Manager, Reimbursement Services <o:p></o:p></span></=
p></td></tr><tr><td nowrap style=3D'padding:2.25pt 2.25pt 2.25pt 2.25pt' val=
ign=3Dtop><p class=3DMsoNormal><b><span style=3D'font-size:10.0pt;font-famil=
y:"Arial","sans-serif";color:#333333'>Job Responsibilities: <o:p></o:p></spa=
n></b></p></td><td style=3D'padding:2.25pt 2.25pt 2.25pt 2.25pt' valign=3Dto=
p><p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:"Arial","=
sans-serif";color:#333333'>United BioSource Corporation (UBC), a wholly owne=
d subsidiary of Medco Health Solutions, Inc. is a global scientific and medi=
cal affairs organization that partners with life science companies to make m=
edicine and medical products smarter for all stakeholders in the health care=
 landscape. The major components of UBC&#8217;s business are as a leader in =
late-stage clinical development; safety and risk management; health economic=
s; outcomes research; pricing and reimbursement and medical publications and=
 communications. <br><br>Brief Description:<br><br>Handle the day-to-day act=
ivities of the reimbursement hotline (s) and/or patient assistance program (=
s) to which the employee is assigned. Handles moderately complex reimburseme=
nt cases by researching and analyzing insurance issues related to the reimbu=
rsement of the products. Manages the Specialty Pharmacy (s) to which program=
 the employee is assigned.<br><br>Specific Job Duties:<br><br>&#8226; Handle=
s calls from healthcare professionals, patients, and sales representatives<b=
r>&#8226; Provides assistance with reimbursement inquiry requests<br>&#8226;=
 Provides billing and coding information related to specific product<br>&#82=
26; Verifies patient insurance benefits<br>&#8226; Conducts general payer re=
search<br>&#8226; Works with payers and healthcare professionals to resolve =
prior authorization issues and/or appeals of denials<br>&#8226; Identifies c=
omplex cases and triages them appropriately to the next level <br>&#8226; As=
sists in the development of reimbursement tools, presentation materials and =
program PSPs as requested by the Manager or Program Manager<br>&#8226; Assis=
ts with reports using MS Word, Power Point, and MS Excel as requested by the=
 Manager or Program Manager<br>&#8226; Cultivates and manages relationships =
with key contacts at managed care organizations, CMS and Medical Professiona=
l Societies<br>&#8226; Manages the Specialty Pharmacy (s) by conducting the =
weekly telephone conferences<br>&#8226; Provides ongoing communication with =
the Specialty Pharmacy (s), as needed to assist with the management of each =
case<br>&#8226; Maintains updated coverage for all Medicare, Medicaid, and p=
rivate payers<br>&#8226; Travels to and attends related meetings/conferences=
 as required<br>&#8226; Other duties as assigned by management<br><br>Superv=
isory Responsibilities:<br><br>Although there are no direct reporting respon=
sibilities of team members to the Reimbursement Specialist and Specialty Pha=
rmacy Liaison, they are responsible for the mentoring PCS team members with =
regard to reimbursement and specialty pharmacy issues. This position also pr=
ovides ongoing team performance issues to the manager and during the annual =
evaluation process.<o:p></o:p></span></p></td></tr><tr><td nowrap style=3D'p=
adding:2.25pt 2.25pt 2.25pt 2.25pt' valign=3Dtop><p class=3DMsoNormal><b><sp=
an style=3D'font-size:10.0pt;font-family:"Arial","sans-serif";color:#333333'=
>Qualifications: <o:p></o:p></span></b></p></td><td style=3D'padding:2.25pt =
2.25pt 2.25pt 2.25pt' valign=3Dtop><p class=3DMsoNormal style=3D'margin-bott=
om:12.0pt'><span style=3D'font-size:10.0pt;font-family:"Arial","sans-serif";=
color:#333333'>&#8226; Bachelors degree required, Masters degree preferred<b=
r>&#8226; Clinical background or relevant industry experience required<br>&#=
8226; Knowledge of medical terminology preferred<br>&#8226; Excellent writte=
n and verbal communication skills<br>&#8226; Computer skills with specific a=
ptitude in Microsoft Office<br>&#8226; Customer service experience, preferre=
d<br>&#8226; Analytical thinking skills<br>&#8226; Ability to handle a fast-=
paced environment<br>&#8226; Professional phone manner<br>&#8226; Excellent =
problem solving and troubleshooting skills<br><br><o:p></o:p></span></p></td=
></tr></table><p class=3DMsoNormal><o:p>&nbsp;</o:p></p><p class=3DMsoNormal=
>Thank you,<o:p></o:p></p><p class=3DMsoNormal>Tara<o:p></o:p></p><p class=
=3DMsoNormal><span style=3D'color:#1F497D'><o:p>&nbsp;</o:p></span></p><p cl=
ass=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:"Arial","sans-se=
rif";color:#1F497D'>Tara Riddle<o:p></o:p></span></p><p class=3DMsoNormal><s=
pan style=3D'font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D=
'>Reimbursement Manager/Specialty Pharmacy Liaison<br>United BioSource Corpo=
ration<br>200 Pinecrest Plaza<br>Morgantown, WV&nbsp; 26505-8065<br>Phone: +=
1 304 291-7524 Ext. 1235<br>Fax: +1 304 292-6391<br>E-mail: <a href=3D"mailt=
o:[log in to unmask]"><span style=3D'color:blue'>tara.riddle@un=
itedbiosource.com</span></a></span><span style=3D'color:#1F497D'><o:p></o:p>=
</span></p><p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:=
"Arial","sans-serif";color:#1F497D'><a href=3D"http://www.unitedbiosource.co=
m/"><span style=3D'color:blue'>www.unitedbiosource.com</span></a></span><spa=
n style=3D'color:#1F497D'><o:p></o:p></span></p><p class=3DMsoNormal><o:p>&n=
bsp;</o:p></p></div></SPAN></P>
<P CLASS=3D"MsoNormal" STYLE=3D"MARGIN: 0in 0in 0pt; mso-margin-top-alt: aut=
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ONT-SIZE: 10pt">************************************************************=
********************</SPAN></P>
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o; mso-margin-bottom-alt: auto"><SPAN STYLE=3D"FONT-FAMILY: 'Courier New'; F=
ONT-SIZE: 10pt">This e-mail transmission and any attachments that accompany =
it may contain UBC&nbsp;information that is privileged, confidential or othe=
rwise exempt from disclosure under applicable law and is intended solely for=
 the use of the individual(s) to whom it was intended to be addressed. If yo=
u have received this e-mail by mistake, or you are not the intended recipien=
t, any disclosure, dissemination, distribution, copying or other use or rete=
ntion of this communication or its substance is prohibited.&nbsp; If you hav=
e received this communication in error, please immediately reply to the auth=
or via e-mail that you received this message by mistake and also permanently=
 delete the original and all copies of this e-mail and any attachments from =
your computer. Exclaimer Version 4.82</SPAN></P></DIV></BODY></HTML>
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