Looking for a high-growth Pharm.D job in Bangalore? CoverSelf, a leading healthcare technology company backed by top venture capital firms, is hiring Clinical Content Specialists (Payment Integrity – Drugs & Biological) in Bengaluru. This opportunity is ideal for Pharm.D graduates, M.Pharm (Pharmacology), and M.Pharm (Clinical Pharmacy) professionals who are passionate about clinical research, medical literature review, pharmacy regulations, healthcare coding, and US healthcare reimbursement systems.
Freshers with strong clinical knowledge, research experience, and analytical skills are encouraged to apply.
About CoverSelf
CoverSelf is a next-generation healthcare payment integrity platform helping US healthcare payers reduce claim inaccuracies and administrative costs. The company provides cloud-native solutions for healthcare claims management and payment accuracy and is backed by leading investors including BeeNext, 3One4 Capital, and Z21 Ventures.
Job Details
| Particulars | Details |
|---|---|
| Position | Clinical Content Specialist (Payment Integrity – Drugs & Biological) |
| Company | CoverSelf |
| Location | Jayanagar, Bangalore, Karnataka |
| Employment Type | Full-Time |
| Work Mode | Work From Office |
| Qualification | Pharm.D (Preferred), M.Pharm (Pharmacology), M.Pharm (Clinical Pharmacy) |
| Experience | Freshers & Experienced Candidates |
| Certification | CPC or COC Preferred |
Key Responsibilities
The Clinical Content Specialist will work on developing and validating content related to Drugs and Biologicals (D&B) in the US healthcare ecosystem.
Pharmacy Responsibilities
- Understand drug and biologic classifications.
- Review generic and branded medications.
- Evaluate dosage determination and administration.
- Assess medication safety and compliance.
- Interpret pharmacy regulations and guidelines.
- Understand regulatory authorities including CDSCO, DCGI, and Department of Pharmaceuticals.
Clinical Responsibilities
- Analyze medical necessity of therapies.
- Review dosage and administration guidelines.
- Assess medication frequency and treatment duration.
- Evaluate contraindications and adverse drug reactions.
- Examine age and gender-specific prescribing considerations.
- Assess off-label medication usage.
- Interpret complex clinical scenarios and treatment pathways.
US Healthcare & Coding Responsibilities
- Review healthcare reimbursement guidelines.
- Work with HCPCS, J-Codes, CPT, ICD, NDC, Modifiers, and Revenue Codes.
- Interpret CMS and Medicaid policies.
- Research payer policies and payment integrity concepts.
- Develop rule logic based on clinical evidence and healthcare policies.
Research & Literature Review
- Analyze FDA drug labels and package inserts.
- Review scientific publications from PubMed and NCBI.
- Correlate multiple medical literature sources.
- Generate evidence-based clinical content.
- Extract actionable insights from healthcare policies.
Eligibility Criteria
Candidates should possess:
- Pharm.D degree (preferred qualification)
- M.Pharm in Pharmacology or Clinical Pharmacy
- Strong clinical and pharmacy knowledge
- Research-oriented mindset
- Experience in thesis work, case studies, or clinical research projects
- Excellent communication and interpretation skills
- Strong analytical and problem-solving abilities
Preferred Certifications
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
Why This Opportunity is Valuable for Pharm.D Graduates
This Clinical Content Specialist role offers exposure to:
- US healthcare reimbursement systems
- Medical coding and payment integrity
- Clinical research and evidence evaluation
- Specialty drugs and biologics
- Oncology and high-cost medication management
- Healthcare technology and payer operations
The position is particularly attractive for Pharm.D graduates seeking alternatives to traditional hospital pharmacy and pharmacovigilance careers.
Employee Benefits
CoverSelf offers:
- Competitive salary package
- Family health insurance coverage
- Personal accident insurance
- Flexible leave policy
- Certification reimbursement
- Medical coding membership renewal support
- Continuing education opportunities
- Annual health checkups
- Career growth in healthcare technology
How to Apply
