Coverage Determination Representative
BioPlus Specialty Pharmacy
About this role
The Coverage Determination Rep I handles obtaining prior authorizations from insurance companies, completes and submits necessary forms, and follows up to ensure proper documentation and communication. The role involves coordinating with prescriber offices, insurance carriers, and internal staff to manage authorization processes.
Skills
Qualifications
About BioPlus Specialty Pharmacy
bioplusrx.comBioPlus Specialty Pharmacy is a specialty pharmacy that helps patients access and manage complex, high-cost medications for chronic and rare conditions. It provides high-touch services — including medication management, benefits investigation and prior-authorization support, adherence programs, financial-assistance navigation, and home delivery — through clinically trained pharmacists and care teams. BioPlus works closely with providers to coordinate care and optimize outcomes while simplifying medication access. The pharmacy operates as part of the Carelon family of companies, leveraging broader pharmacy and payer resources.
About BioPlus Specialty Pharmacy
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for BioPlus Specialty Pharmacy.
Salary
$35k – $49k
per year
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