
Oncology Prior Authorisation Lead
2 weeks ago
Job Overview
We are seeking a skilled professional to manage electronic prior authorisations (ePAs) for oncology-related prescriptions.
- Manage and process ePA requests through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation to ensure completeness and accuracy for payer submission.
- Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorisation and reimbursement issues.
- Monitor and track ePA requests, ensuring timely follow-up and resolution.
- Educate prescribers' offices on processes and payer requirements.
- Stay updated on oncology drug access pathways, insurance policies, and payer-specific rules.
- Document case activities accurately in CRM or patient management systems.
Key Requirements
- Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
- 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, organisational skills, and ability to handle multiple cases simultaneously.
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