Oncology Medication Access Specialist

2 days ago

Rajahmundry, Andhra Pradesh, India beBeeOncology Full time ₹ 8,00,000 - ₹ 12,00,000
Oncology Prior Authorisation Specialist Role Overview

The role of an Oncology Prior Authorisation Specialist is a vital part of managing electronic prior authorizations and ensuring timely access to critical oncology treatments. This specialist will play a key role in facilitating the process of obtaining approvals for life-saving medications.

Key Responsibilities:

  • Manage and process ePAs through CoverMyMeds, focusing on oncology medications and ensure they meet all necessary requirements.
  • Review clinical documentation and ensure completeness and accuracy for payer submission.
  • Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve PA and reimbursement issues.
  • Monitor and track PA requests, ensuring timely follow-up and resolution.
  • Educate prescribers' offices and staff 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 or patient management systems.
  • Work cross-functionally with internal teams to support patient access initiatives.

Qualifications:

  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
  • 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, organisational skills, and ability to handle multiple cases simultaneously.

Preferred Skills:

  • Experience working with oncology 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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