Administrative Coverage Valuator

Description

Job Summary: We are seeking an Administrative Coverage Valuator to ensure accurate valuation of medical programs and timely delivery to affiliates. Key Highlights: 1. Commitment to people's health 2. Motivation for professional challenges and innovation 3. Ensuring correct coverage and regulatory compliance At **NUEVA MASVIDA**, our purpose is to provide people with the best possible access to healthcare services, enabling them to enjoy a healthy and fulfilling life. If commitment to people's health is among your core values, if you are motivated by professional challenges, and if you seek to innovate in your work, we have an opportunity for you: We are currently looking for an **Administrative Coverage Valuator**, who will be responsible for ensuring that the medical program valuation process provides appropriate coverage according to the affiliate’s contracted health plan, thereby delivering vouchers and reimbursements promptly and in full compliance with applicable regulations. **Main Responsibilities:** * Value and authorize medical programs in accordance with instructions from the analyst or controlling physician, and in line with the values established in each affiliate’s health plan * Review relevant documentation, including clinic charges, medications used, physician fees, among others. **What benefits will you receive as part of our team?** * A multicultural company promoting inclusion and committed to Proximity, Excellence, Profitability, and Sustainability. * Supplementary health insurance (50% employee / 50% company co-payment) * Exclusive wellness partnerships * Flexible time: points available to request half-day leave benefits * Year-end bonuses for National Holidays and Christmas * 42-hour workweek * Fixed salary structure plus variable compensation based on goal achievement **Requirements:** * **Education:** Technical-level qualification or higher * **Knowledge:** Experience in administrative healthcare functions and/or ISAPREs * **Experience:** 1–2 years in similar positions. Workplace: On-site employment