Care Coordination Specialist

4 days ago


Malappuram, Kerala, India beBeeOncology Full time ₹ 8,00,000 - ₹ 10,00,000
Job Opportunity: Oncology Prior Authorisation Specialist

We are seeking an experienced specialist to join our team and manage electronic prior authorisations for oncology-related prescriptions.

About the Role
  • This is a key position within our organisation, requiring strong communication and problem-solving skills to streamline access to critical oncology treatments.
  • You will work closely with prescribers, pharmacies, and payers to ensure timely and accurate processing of patient cases.

The successful candidate will have a strong background in oncology medication access, reimbursement, or patient services, as well as experience using CoverMyMeds for prior authorisation processing.

Key Responsibilities
  1. Manage and process electronic prior authorisations through CoverMyMeds, focusing on oncology medications.
  2. Review clinical documentation and ensure completeness and accuracy for payer submission.
  3. Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorisation and reimbursement issues.
  4. Monitor and track prior authorisation requests, ensuring timely follow-up and resolution.
  5. Educate prescribers' offices and staff on CoverMyMeds processes and payer requirements.
  6. Stay updated on oncology drug access pathways, insurance policies, and payer-specific rules.
  7. Document case activities accurately in CRM or patient management systems.
  8. Work cross-functionally with internal teams to support patient access initiatives.
Requirements
  • 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.
Preferred Skills
  • Experience working with oncology patient support programmes.
  • Knowledge of insurance verification, appeals, and reimbursement landscape.
  • Ability to work independently while collaborating with cross-functional teams.


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