Oncology Prior Authorisation Position

2 days ago


Kozhikode, Kerala, India beBeeMedication Full time ₹ 90,00,000 - ₹ 1,20,00,000
Medical Authorisation SpecialistWe are seeking an experienced Medical Authorisation Specialist to join our team. The ideal candidate will have a background in healthcare, pharmacy, life sciences or a related field.The successful candidate will be responsible for managing and processing electronic prior authorisations through CoverMyMeds, focusing on oncology medications. This includes reviewing clinical documentation, ensuring completeness and accuracy for payer submission.The role also involves collaborating with healthcare providers, insurance companies and specialty pharmacies to resolve prior authorisation and reimbursement issues. Timely follow-up and resolution of requests is essential.The Medical Authorisation Specialist will educate prescribers' offices and staff on CoverMyMeds processes and payer requirements. They will also stay updated on oncology drug access pathways, insurance policies and payer-specific rules.This role requires strong organisational skills, attention to detail and the ability to handle multiple cases simultaneously. Excellent communication and problem-solving skills are also essential.Key Responsibilities:
  • Manage and process electronic prior authorisations through CoverMyMeds, focusing on oncology medications
  • Review clinical documentation and ensure completeness and accuracy for payer submission
  • Collaborate with healthcare providers, insurance companies and specialty pharmacies to resolve prior authorisation and reimbursement issues
  • Educate prescribers' offices and staff on CoverMyMeds processes and payer requirements
Required Skills and Qualifications:
  • Bachelor's degree in healthcare, pharmacy, life sciences or a related field
  • 2+ years of hands-on experience using CoverMyMeds, specifically in prior authorisation processing
  • Strong background in oncology medication access, reimbursement or patient services
  • Familiarity with specialty pharmacy operations and payer requirements


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