Medico Gestión Mipres - 2026491

Medico Gestión Mipres - 2026491

19 nov
|
Avella
|
Bogotá

19 nov

Avella

Bogotá

Job Details2021-10-18T13:58:48+00:00 2026491 Requisition Number: 2026491Job Category: Medical & Clinical Operations Primary Location: Bogotá, Distrito Capital de Bogotá



Careers at UnitedHealth Group



We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM



Clinical



Compassion.





It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM



Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.SM

1. Dirigir la toma de decisiones con respecto a los servicios, siguiendo la normatividad vigente y realizando las actividades necesarias para dar respuesta a la solicitud.

2. Desarrollar órdenes de servicios de prestaciones y medicamentos aprobadas en HUELLA.

3. Dar seguimiento por medio del BackOffice de medicamentos y prestaciones cuando sea requerido.

4. Controlar el trámite de las órdenes de servicio de los medicamentos para los programas especiales e intrahospitalarios.

5. Control y seguimiento a los medicamentos de alto costo.

6. Asistir a la coordinación en la revisión, análisis y respuestas de las PQR.

7. Dar apoyo a las áreas de la compañía en emisión de conceptos médicos y gestión oportuna de aprobación o rechazo de autorizaciones.

8. Ejecución del programa de fármaco-vigilancia.

9. Realizar todas las demás funciones inherentes a su cargo y/o asignadas por su jefe inmediato.

Profesional titulado en Medicina. Especialización en administración en salud o programas afines. 3 años de experiencia laboral. Experiencia administrativa en el sector salud.

Conocimiento de la normatividad PBS y No PBS. Manejo de paquete office.

Carreras en Colmédica Medicina Prepagada, parte de la familia de negocios de UnitedHealth Group. Colmédica lleva más de 30 años brindando soluciones innovadoras de salud en Colombia como una de las compañías médicas prepagas más grandes del sector privado. Formar parte de nuestro equipo significa conectar a más de 262.000 miembros con los servicios de salud que necesitan y hacer que la atención médica sea más humana, accesible y eficaz. Únete a una de las empresas de salud más confiables de Colombia. Siempre estamos buscando a más personas que puedan ayudarnos a encontrar nuevas formas de dar mejores servicios. Haz una diferencia en la vida de los demás mientras haces el mejor trabajo de tu vida.SM



Additional Job Detail Information



Requisition Number 2026491



Business Segment UHC Global Banmedica



Country: CO



Telecommuter Position No



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