Clinical Content Specialist (Payment Integrity - Drugs & Biological)

2070Health·Bengaluru

Pay not statedFresherFull-time

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About the role

The Clinical Content Specialist – Pharmacy will be responsible for developing and validating high-quality content related to Drugs & Biologicals (D&B) within the US healthcare domain. The role focuses on ensuring accuracy, compliance, and clinical relevance of concepts that impact high-cost medical spend areas such as chemotherapy and specialty drugs.

What you'll do

Generic and Brand drugs awareness
Dosage determination, medical necessity, safety and compliance
Medical coding and reimbursement guidelines of US healthcare
CMS, Medicaid guidelines, and payer policies
Research and ideation of concepts based on CoverSelf Policies and Medical and pharmacy literatures and drug labels

What you need

Open to freshers
Research
Pharmacology
Medical coding
M.Pharm

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