
Oncology Medication Specialist
5 days ago
You will manage electronic prior authorizations and ensure timely processing of oncology prescriptions. You will work closely with prescribers, pharmacies, and payers to streamline access to critical oncology treatments.
">- Manage and process electronic prior authorizations through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation for completeness and accuracy before submission.
- Collaborate with healthcare providers and insurance companies to resolve prior authorization issues.
- Monitor and track prior authorization requests, ensuring timely follow-up and resolution.
- Educate prescribers' offices on CoverMyMeds processes and payer requirements.
- Stay updated on oncology drug access pathways 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.
You must have a Bachelor's degree in healthcare, pharmacy, life sciences, or a related field (preferred).
">- 2+ years of experience using CoverMyMeds for prior authorization processing.
- Strong background in oncology medication access and reimbursement.
- Familiarity with specialty pharmacy operations and payer requirements.
- Excellent communication and problem-solving skills.
- Attention to detail and ability to handle multiple cases simultaneously.
It is preferred that you have experience working with oncology patient support programs.
">- Knowledge of insurance verification and appeals landscape.
- Ability to work independently while collaborating with cross-functional teams.
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