Clinical Content Specialist (Payment Integrity - Drugs & Biological)

2070Health

Job Overview

Location

Bengaluru, Karnataka, India

Employment Type

Full-time

Work Arrangement

On-site

Sector

Healthcare & Medical

Experience Level

Entry Level (0-2 years)

Application Deadline

June 19, 2026

About the Company

CoverSelf is at the forefront of revolutionizing US healthcare payers' capabilities with a cutting-edge, cloud-native platform. This holistic and customizable solution is engineered to proactively prevent and adapt to the constantly evolving landscape of inaccuracies in healthcare claims and payments. By significantly reducing complexity and administrative costs, CoverSelf offers a unified, healthcare-dedicated platform. The company is backed by prominent venture capital firms, including BeeNext, 3One4 Capital, and Z21 Ventures, underscoring its strong growth potential and innovative approach to healthcare finance.

Job Description

Join 2070Health, a company dedicated to empowering US healthcare payers with a next-generation platform designed to combat inaccuracies in healthcare claims and payments. This role focuses on the critical area of Drugs & Biologicals, requiring a deep understanding of pharmacy and clinical concepts.

You will be responsible for developing and validating high-quality content that ensures accuracy, compliance, and clinical relevance. This position is key to managing high-cost medical spend and reducing inaccurate reimbursements within the US healthcare system.

The ideal candidate will possess a strong research mindset, excellent communication skills, and a passion for learning and growth within the pharmacy and clinical domains. You will work with medical and pharmacy literature, translating complex information into clear, structured insights.

This is a work-from-office position located in Jayanagar, Bangalore, offering competitive compensation and comprehensive benefits, including health insurance and professional development opportunities.

To apply for this role, click the Apply button on this page and follow the instructions.

Required Skills

Pharmacy ConceptsClinical ConceptsDrugs & BiologicalsUS Healthcare Insurance DomainMedical CodingReimbursement GuidelinesNDCHCPCSCPTICDModifiersRevenue CodesCMS GuidelinesMedicaid GuidelinesPayer PoliciesResearchLiterature InterpretationCommunication SkillsAttention to Detail

Key Responsibilities

  • Develop and validate high-quality content related to Drugs & Biologicals (D&B) within the US healthcare domain.
  • Ensure accuracy, compliance, and clinical relevance of concepts impacting high-cost medical spend areas.
  • Support payment integrity efforts and reduce inaccurate reimbursements.
  • Research and ideate concepts based on CoverSelf Policies and medical/pharmacy literature.
  • Interpret complex medical and pharmacy literature, including drug labels, FDA guidelines, and medical journals.
  • Extract rule logic based on CS policies and correlate multiple literatures to arrive at conclusions.
  • Understand and apply knowledge of US healthcare insurance domain, including medical coding and reimbursement guidelines.
  • Maintain awareness of pharmacy regulatory bodies and generic/brand drug information.
  • Assess dosage determination, medical necessity, safety, and compliance for medications.

Qualifications

  • Passionate about working in the pharmacy and clinical domain, with a focus on learning and growth.
  • Strong foundation in pharmacy and clinical concepts, including drugs and biologics.
  • Demonstrated experience in research work, college thesis, or complex case study analysis.
  • Strong research mindset with the ability to interpret clinical and medical literature.
  • Excellent communication, articulation, and interpretation skills.
  • Ability to translate complex clinical information into clear and structured insights.
  • Sound clinical knowledge with attention to detail and accuracy.
  • Pharm.D (Doctor of Pharmacy) – Preferred.
  • M.Pharm – Pharmacology / Clinical Pharmacy.
  • CPC or COC certification – highly preferred.
  • Freshers with a strong foundation in Pharmacy/Clinical concepts and a research mindset can be considered.

Benefits & Perks

  • Best-in-class compensation
  • Health insurance for Family
  • Personal Accident Insurance
  • Friendly and Flexible Leave Policy
  • Certification and Course Reimbursement
  • Medical Coding CEUs and Membership Renewals
  • Health checkup

How to Apply

To apply for this role, click the Apply button on this page and follow the instructions.

Join Our Communities

The Indian healthcare sector is experiencing rapid growth, driven by increasing demand for specialized medical services. This role is pivotal in enhancing payment integrity for US healthcare payers, focusing on the critical areas of Drugs & Biologicals. You will leverage your expertise in pharmacy, clinical interpretation, and healthcare coding to develop and validate content that combats inaccuracies in claims and payments. Your work will directly impact the reduction of high-cost medical spend, ensuring accurate reimbursements and contributing to the platform's overall effectiveness in a dynamic market.

Posted Date

June 5, 2026