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Description of job position

  • Reviewing and revising reports on the provided healthcare and services related to its provision (internal reviews).
  • Checking and reviewing the medical records of healthcare providers (external review).
  • Approving and authorising the provision of health care, including the individual purchases of drugs and medical devices.
  • Analysing and evaluating the effectiveness of medical treatments and therapies used by healthcare providers.
  • Proposing the company’s drug policy and analysing its implementation.
  • Quantifying the healthcare provided in regression procedures.
  • Developing directives, guidelines, and internal regulations.
  • Assessing policyholders’ complaints.
  • Providing advice and consultation to healthcare providers and policyholders.

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