Senior Oncology Medication Access Coordinator

1 week ago


Gulbarga, Karnataka, India beBeeOncology Full time ₹ 9,87,654 - ₹ 12,34,567
Oncology Prior Authorisation Specialist

Role Overview:

As a specialist in oncology medication access, you will be responsible for managing electronic prior authorisations and ensuring timely and accurate processing of prescriptions.

Key Responsibilities:

  • Manage and process electronic prior authorisations 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 prior authorisation requests to ensure timely follow-up and resolution.
  • Educate prescribers' offices and staff on processes and payer requirements.
  • Stay up-to-date on oncology drug access pathways, insurance policies, and payer-specific rules.
  • Document case activities accurately in CRM or patient management systems.

Qualifications:

  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field is preferred.
  • 2+ years of hands-on experience using CoverMyMeds, specifically in prior authorisation processing.
  • Strong background in oncology medication access, reimbursement, or patient services is essential.
  • Familiarity with specialty pharmacy operations and payer requirements is beneficial.
  • Excellent communication and problem-solving skills are required.
  • Strong attention to detail, organisational skills, and ability to handle multiple cases simultaneously are necessary.

Preferred Skills:

  • Experience working with oncology patient support programmes is advantageous.
  • Knowledge of the insurance verification, appeals, and reimbursement landscape is desirable.
  • Ability to work independently while collaborating with cross-functional teams is essential.


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