Medical Oncology Medication Access Specialist

1 week ago

Chennai, Tamil Nadu, India beBeeOncology Full time ₹ 8,00,000 - ₹ 15,00,000

As an Oncology Prior Authorisation Specialist, you will play a vital role in managing electronic prior authorisations and ensuring timely access to critical oncology treatments.

Key Responsibilities:
  • Manage and process electronic prior authorisations through CoverMyMeds, focusing on oncology medications.
  • Review clinical documentation for completeness and accuracy before submitting to payers.
  • Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorisation and reimbursement issues.
  • Monitor and track prior authorisation 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.
Qualifications:
  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field (preferred).
  • 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.
  • Excellent communication and problem-solving skills.
  • Strong attention to detail, organisational skills, and ability to handle multiple cases simultaneously.

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