Description
This role is not for 2070 Health.
About CoverSelf:
CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Z21 Ventures.

Position Overview:
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. This position requires strong expertise in pharmacy, clinical interpretation, and healthcare coding to support payment integrity and reduce inaccurate reimbursements.

Key Responsibilities:
- Requires a deep understanding of Pharmacy, Clinical aspects

Pharmacy Aspects




- Good understanding of Drugs and Biologicals and their classification
- Awareness of Pharmacy regulatory bodies, like CDSCO,DCGI,DoP
- Generic and Brand drugs awareness
- Dosage determination, medical necessity, safety and compliance.

Clinical Aspects
- Dosage and Administration
- Medical Necessity
- Frequency of Medication
- Contraindication
- Age/Gender
- Adverse Drug Reaction
- Off label usage
- Positive understanding of US Healthcare insurance Domain:
- Medical coding and reimbursement guidelines of US healthcare.
- NDC, HCPCS (J-codes), CPT, ICD, Modifiers, Revenue codes, etc.
- CMS, Medicaid guidelines, and payer policies.
- Understanding of CoverSelf Policies and Sub-Policies
- Research and ideation of concepts based on CoverSelf Policies and Medical and pharmacy literatures and drug labels
- Understanding of Medical and Pharmacy Literatures
- Familiarity of Drug Labels, FDA, Well-known Medic

📌 Clinical Content Specialist (Bengaluru)
🏢 2070Health
📍 Bengaluru