Rare Reimbursement Executive, Southwest

Make your mark for patients

We are looking for aRare Reimbursement Executive Southwestwho is self-aware patient centric and collaborative to join us in ourMarket Access and Affordability Team. This is afield-basedposition that requires up to 75% daily and overnight travel will coverArizona & Nevadaand is designed to supportPacific and Mountain Time Zones.

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 yourknowledge 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 youll 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 youll do

• Serve as a liaison to all engaged sites of care administering UCB rare disease product(s) through a patients 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.

• Monitor interpret and communicate local regional and national payer policy updates impacting UCB Rare Disease therapies.
• Provide reimbursement education and ethical commentary regarding medical and pharmacy benefit coverage benefit design utilization management requirements coding practices reimbursement methodologies and payer policy changes.
• Disseminate relevant coverage and policy updates to internal stakeholders and aligned cross-functional teams.

Interested For this role were looking for the following education experience and skills

• Bachelors degree required (Masters preferred)
• 8 years of pharmaceutical or biotech experience required
• Demonstrated working knowledge of medical and pharmacy benefit reimbursement including benefit investigation required
• 4 years Reimbursement/Account Management experience preferred
• Excellent working knowledge of evolving reimbursement landscape and the practice management environment
• Neurology or Rare Disease experience preferred

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 over 9.000 people in all four corners of the globe inspired by patients and driven by science.

Why work with us
At UCB we dont just complete tasks we create value. We arent 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 equal opportunities to do their best work. We go beyond to create value for our patients and always with a human focus whether thats 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.

At UCB weve embraced a hybrid-first approach to work bringing teams together in local hubs to foster collaborative curiosity. Unless explicitly stated in the description or precluded by the nature of the position roles are hybrid with 40% of your time spent in the office.

UCB is an equal opportunity employment decisions will be made without regard to any characteristic protected by applicable federal state or local law. UCB invites you to voluntarily self-identify during the application process. Provision of self-identification information is entirely voluntary and a decision to provide or not provide such information will not have any effect on your application for employment your employment with UCB or otherwise subject you to any adverse treatment. Any information you provide will be considered confidential and will be kept separate from your application and/or personnel file and will only be used in accordance with applicable laws orders and regulations.

Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us on 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.