Cancer Treatment Access Expert

2 days ago


Thāne, Maharashtra, India beBeeOncologyPriorAuthorisation Full time ₹ 12,00,000 - ₹ 16,00,000

Job Title: Oncology Prior Authorisation Specialist

About the Role

We are seeking a highly skilled Oncology Prior Authorisation Specialist to join our team. As an Oncology Prior Authorisation Specialist, you will play a critical role in managing electronic prior authorizations (ePAs) and ensuring timely access to oncology treatments.

Key Responsibilities:
  • Process electronic prior authorizations (ePAs) through CoverMyMeds, focusing on oncology medications.
  • Review clinical documentation for completeness and accuracy.
  • Resolve prior authorisation and reimbursement issues with healthcare providers and insurance companies.
  • Monitor and track prior authorization requests for timely follow-up and resolution.
  • Educate prescribers' offices on CoverMyMeds processes and payer requirements.
  • Stay updated on oncology drug access pathways, insurance policies, and payer-specific rules.
  • Document case activities accurately in CRM systems.
Requirements

To be successful as an Oncology Prior Authorisation Specialist, you will require:

  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
  • At least 2 years of experience using CoverMyMeds for 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.


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