Senior Medical Approval

We’re Hiring | Senior Medical Approvals Officer

Are you a medical professional with solid experience in Medical Approvals and a strong ability to handle complex cases?

Limitless Care is looking for a Senior Medical Approvals Officer to join our team

Requirements

• Review and make decisions on complex medical approval cases based on medical necessity, appropriateness, and coverage policies.
• Handle escalated cases and provide sound medical recommendations.
• Ensure patient care considerations are addressed while maintaining compliance with medical and insurance guidelines.
• Support the quality and consistency of the medical approvals process.
• Collaborate with internal teams and stakeholders to ensure timely case resolution.

Qualifications:

• Bachelor’s degree in Pharmacy.
• 3+ years of experience in Medical Approvals.
• Strong knowledge of medical insurance and approval processes.
• Strong analytical, decision-making, and problem-solving skills.
• Excellent communication and interpersonal skills.
• Good command of Microsoft Office.