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 robust 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




Valuable 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