Especialista en Autorizaciones Médicas (Temporal) - Cigna Healthcare
Core
Parametrization of declared pathologies and medical acts, management of medical authorizations, reimbursements, and healthcare cost control.
Role type
Senior medical authorization specialist (nursing background)
Builds
Automated information systems for medical management and authorization workflows
Domain
Health insurance / Healthcare operations
Required skills
Medical authorization management, health insurance underwriting, medical cost control, protocol development, advanced computer tools, analytical problem solving
Preferred skills
Project management for parametrization and automation, clinical protocol knowledge
Technologies
Advanced computer tools
Responsibilities
Parametrize declared pathologies in health questionnaires, identify and parametrize medical act coding, manage medical authorization and reimbursement projects, control healthcare spending against coverage and clinical protocols
Seniority
Senior, hands-on IC