Insurance

Reviewing Pharmacist

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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.