Especialista en Autorizaciones Médicas (Temporal) - Cigna Healthcare
Core
Parametrización de patologías y codificación de actos médicos, gestión de autorizaciones médicas y control del gasto sanitario para asegurados.
Role type
Senior medical authorization specialist (nursing background)
Builds
Automated medical authorization workflows and cost control protocols
Domain
Health insurance / Medical operations
Required skills
Medical authorization management, Claims reimbursement control, Clinical protocol adherence, Health risk underwriting, Medical cost control, Technical documentation writing, Advanced computer tools proficiency, Project management, Analytical problem solving
Preferred skills
None stated
Technologies
None stated
Responsibilities
Parametrize declared pathologies in health questionnaires, Identify and parametrize medical act coding, Manage authorization and reimbursement projects, Control medical spending against coverage and protocols
Seniority
Senior, hands-on IC
