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¡Esta posición es para ti!**\n\n**Misión del Puesto**\n\n\nGarantizar el **análisis Técnico Médico** para determinar la procedencia o improcedencia de servicios y reclamaciones (reembolso, ingresos, urgencias, etc.) , asegurando el apego a la normativa del cliente.\n\n**Tus Funciones Clave**\n\n* **Dictamen y Gestión de Calidad:** Garantizar el correcto Dictamen de los servicios y Reclamaciones y supervisar la aplicación del tabulador de honorarios médicos.\n* **Contención de Gasto:** Garantizar la contención del gasto y evitar desvío de insumos no procedentes.\n* **Coordinación de Servicios:** Coordinar con el proveedor y el usuario la realización y/o entrega de los servicios solicitados.\n* **Casos Sensibles:** Analizar expedientes de manera integral en casos sensibles, complejos y crónicos y gestionar la toma de decisiones.\n* **Asesoría Médica:** Asesorar y brindar atención personalizada a los usuarios desde el punto de vista clínico.\n\n**Requisitos Indispensables**\n\n* **Formación:** Licenciatura de **Médico Cirujano**.\n* **Experiencia:** Experiencia en **Atención Médica**.\n* **Reporte:** Reporta a la Gerencia Regional.\n\n**Habilidades que Buscamos**\n\n* Capacidad de **Análisis y Síntesis**.\n* **Toma de decisiones** y **Asertividad**.\n* **Negociación** y **Relaciones Interpersonales**.\n* Tolerancia al **Trabajo bajo presión** y **Control de situaciones conflictivas**.\n\n**Retos a Resolver (¡Con Autonomía!)**\n\n* **Dictaminar** casos médicos no procedentes y comunicarlos a proveedores y/o usuarios.\n* **Proponer acciones** o tratamientos para resolver casos médicos, especiales y sensibles.\n* **Gestionar personalmente** acciones de solución para asegurar la Atención y Calidad del Servicio Médico.\n\n\nSi estas interesado/da postulate por este medio.","price":"Salario negociable","unit":"per year","currency":null,"company":"Indeed","language":"es","online":1,"infoType":1,"biz":"jobs","postDate":"1762862139000","seoName":"coordinador-a-medico-en-vitamedica-parte-de-bupa","supplement":null,"author":null,"originalPrice":null,"soldCnt":null,"topSeller":null,"source":1,"cardType":null,"action":"https://mx.ok.com/es/city-baja-california/cate-receptionists/coordinador-a-medico-en-vitamedica-parte-de-bupa-6436635387635412/","localIds":"46","cateId":null,"tid":null,"logParams":{"tid":"38a0337e-d8f6-462e-a8d7-34d094d49c58","sid":"c329a64f-c5b0-488e-8b3d-2b0dad7bcc37"},"attrParams":{"summary":null,"highLight":["Medical coordination role","Ensure compliance with regulations","Manage medical claims and decisions"],"employment":[{"icon":"https://sgj1.ok.com/yongjia/bkimg/8hvituaa__w72_h72.webp","name":"Tipo de empleo","value":"Tiempo completo","unit":null},{"icon":"https://sgj1.ok.com/yongjia/bkimg/is8j0f44__w72_h72.webp","name":"Modalidad de trabajo","value":"Presencial","unit":null},{"icon":"https://sgj1.ok.com/yongjia/bkimg/ji66qqr0__w72_h72.webp","name":null,"value":"Tijuana,Baja California","unit":null}]},"addDate":1762862139659,"categoryName":"Recepcionistas","postCode":null,"secondCateCode":"administration-office-support","kycTag":null,"pictureUrls":null,"isFavorite":false},{"category":"1261,1263,1609","location":"Av. 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contamos con 19 años de experiencia ofreciendo soluciones integrales de salud a corporativos a nivel nacional. 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