Critical Care Medication Access Professional

1 week ago

Thiruvananthapuram, Kerala, India beBeeOncology Full time ₹ 10,00,000 - ₹ 15,00,000
Key Oncology Medication Access Specialist Role

The organization is seeking a highly skilled professional to manage electronic prior authorizations and streamline access to critical oncology treatments.

The successful candidate will work closely with healthcare providers, insurance companies, and specialty pharmacies to minimize delays in patient care.

Responsibilities
  • Manage and process electronic prior authorizations through CoverMyMeds, focusing on oncology medications.
  • Review clinical documentation and ensure completeness and accuracy for payer submission.
  • Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorization and reimbursement issues.
  • Monitor and track prior authorization 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.

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