
Cancer Medication Access Professional
5 days ago
Cancer Access Specialist
This is a challenging role that involves managing electronic prior authorizations and ensuring timely processing of oncology-related prescriptions. As a specialist in this field, you will work closely with prescribers, pharmacies, and payers to streamline access to critical cancer treatments.
Key Responsibilities:
- Prior Authorization Management: Manage and process electronic prior authorizations through CoverMyMeds, focusing on oncology medications.
- Clinical Review: Review clinical documentation and ensure completeness and accuracy for payer submission.
- Collaboration: Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorization and reimbursement issues.
- Tracking and Follow-up: Monitor and track prior authorization requests, ensuring timely follow-up and resolution.
- Education and Training: Educate prescribers' offices and staff on CoverMyMeds processes and payer requirements.
- Stay Up-to-Date: Stay updated on cancer drug access pathways, insurance policies, and payer-specific rules.
- Documentation: Document case activities accurately in CRM or patient management systems.
- Cross-Functional Collaboration: Work cross-functionally with internal teams to support patient access initiatives.
Requirements:
- Bachelor's degree in healthcare, pharmacy, life sciences, or a related field (preferred).
- 2+ years of hands-on experience using CoverMyMeds, specifically in prior authorization processing.
- Strong background in oncology medication access, reimbursement, or patient services.
- Familiarity with specialty pharmacy operations and payer requirements.
- Excellent communication and problem-solving skills.
- Strong attention to detail, organizational skills, and ability to handle multiple cases simultaneously.
Preferred Skills:
- Experience working with cancer patient support programs.
- Knowledge of insurance verification, appeals, and reimbursement landscape.
- Ability to work independently while collaborating with cross-functional teams.
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