Return-path: <[log in to unmask]> Received: from mx16.wvu.edu ([157.182.203.240]) by WVUGW14.wvu.edu with ESMTP; Mon, 13 Jun 2011 13:11:51 -0400 Received: from mx16.wvu.edu (localhost [127.0.0.1]) by localhost (Postfix) with SMTP id 704F5B7C9 for <[log in to unmask]>; Mon, 13 Jun 2011 13:11:51 -0400 (EDT) Received: from ubcmail3.UBCMAIN.com (ubcmail3.ubcmain.com [12.176.211.250]) by mx16.wvu.edu (Postfix) with ESMTP id 07C6AB7C5 for <[log in to unmask]>; Mon, 13 Jun 2011 13:11:48 -0400 (EDT) X-MimeOLE: Produced By Microsoft Exchange V6.5 Content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----_=_NextPart_001_01CC29EC.FA29A00E" Subject: Job Opportunity for Morgantown Area Date: Mon, 13 Jun 2011 13:11:46 -0400 Message-ID: <[log in to unmask]> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: Job Opportunity for Morgantown Area Thread-Index: Acwp7PmnX1zrau2JTGeyWt2jERe3UA== From: "Riddle, Tara (UBC)" <[log in to unmask]> To: <[log in to unmask]> X-PMX-Version: 5.6.1.2065439, Antispam-Engine: 2.7.2.376379, Antispam-Data: 2011.6.13.164518 X-WVU-PMX-SCORE: Gauge=IIIIIIII, Probability=8%, Report=' HTML_50_70 0.1, SUPERLONG_LINE 0.05, BODY_SIZE_10000_PLUS 0, DATE_TZ_NA 0, FROM_NAME_PHRASE 0, OEM_SOFTWARE_X1 0, __ANY_URI 0, __C230066_P1_1 0, __C230066_P1_2 0, __C230066_P2 0, __C230066_P5 0, __CP_URI_IN_BODY 0, __CT 0, __CTYPE_HAS_BOUNDARY 0, __CTYPE_MULTIPART 0, __CTYPE_MULTIPART_ALT 0, __FRAUD_CONTACT_NUM 0, __FRAUD_SUBJ_A 0, __HAS_HTML 0, __HAS_MSGID 0, __HTML_FONT_BLUE 0, __IMS_MSGID 0, __INT_PROD_COMP 0, __INT_PROD_PSP 0, __INT_PROD_X2 0, __MEDS_PLAIN_PHARMACY 0, __MIME_HTML 0, __MIME_VERSION 0, __OEM_SOFTWARE_5 0, __SANE_MSGID 0, __STYLE_RATWARE_2 0, __TAG_EXISTS_HTML 0, __TO_MALFORMED_2 0, __TO_NO_NAME 0, __URI_NS ' This is a multi-part message in MIME format. ------_=_NextPart_001_01CC29EC.FA29A00E Content-Type: text/plain; charset=utf-8 Content-Transfer-Encoding: quoted-printable 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] www.unitedbiosource.com ****************************************************************************= **** This e-mail transmission and any attachments that accompany it may contain U= BC=C2=A0information that is privileged, confidential or otherwise exempt fro= m disclosure under applicable law and is intended solely for the use of the = individual(s) to whom it was intended to be addressed. If you have received = this e-mail by mistake, or you are not the intended recipient, any disclosur= e, dissemination, distribution, copying or other use or retention of this co= mmunication or its substance is prohibited.=C2=A0If you have received this c= ommunication in error, please immediately reply to the author via e-mail tha= t you received this message by mistake and also permanently delete the origi= nal and all copies of this e-mail and any attachments from your computer. Ex= claimer Version 4.82 ------_=_NextPart_001_01CC29EC.FA29A00E Content-Type: text/html; charset=utf-8 Content-Transfer-Encoding: quoted-printable

<= p class=3DMsoNormal>Hi Jacki,

 =

Could you please post the following to the li= stserv?  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 , cl= ick on careers and search Job Group B.  Please let them know to apply o= nline. 

 

 

Job Title: <= /b>

<= p class=3DMsoNormal>Manager, Reimbursement Services

Job Responsibilities:

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’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.

Brief Description:

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.

Specific Job Duties:

• Handle= s calls from healthcare professionals, patients, and sales representatives• Provides assistance with reimbursement inquiry requests
•= Provides billing and coding information related to specific product
R= 26; Verifies patient insurance benefits
• Conducts general payer re= search
• Works with payers and healthcare professionals to resolve = prior authorization issues and/or appeals of denials
• Identifies c= omplex cases and triages them appropriately to the next level
• As= sists in the development of reimbursement tools, presentation materials and = program PSPs as requested by the Manager or Program Manager
• Assis= ts 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 Professiona= l 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 p= rivate payers
• Travels to and attends related meetings/conferences= as required
• Other duties as assigned by management

Superv= isory Responsibilities:

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.

Qualifications:

• Bachelors degree required, Masters degree preferred• Clinical background or relevant industry experience required
&#= 8226; Knowledge of medical terminology preferred
• Excellent writte= n and verbal communication skills
• Computer skills with specific a= ptitude in Microsoft Office
• Customer service experience, preferre= d
• 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 Corpo= ration
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]">tara.riddle@un= itedbiosource.com=

www.unitedbiosource.com

&n= bsp;

************************************************************= ********************

This e-mail transmission and any attachments that accompany = it may contain UBC 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.  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

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