IAFAS Authorization Physician

Description

Position Summary: Evaluate patient care and admission requests, ensuring medical appropriateness and adherence to clinical practice guidelines. Key Responsibilities: 1. Evaluate the medical appropriateness of inpatient and outpatient service requests. 2. Approve or reject admissions for new patients. 3. Ensure adherence to recognized Clinical Practice Guidelines. **Description** **Offer** -------------------------- Evaluate care requests and approve them based on medical appropriateness and current eligibility conditions. 1\. Evaluate the medical appropriateness of inpatient, outpatient, and diagnostic support service requests submitted by providers and supported by documentation in the Clinical History (when required), as requested through the authorization system. 2\. Evaluate admission requests for new patients and approve or reject them based on the documentation provided. 3\. Interview new patients during their Oncology Benefit Activation process when their affiliation period is less than six months or when additional documentation is required. 4\. Ensure adherence to AUNA’s Clinical Practice Guidelines; in their absence, adhere to those issued by other internationally recognized scientific institutions such as NCCN, ASCO, etc. **Requirements** **Candidate** ------------------------------ * + Medical Doctor with specialization in Oncology and Medical Auditor (mandatory) **Selection** **Process** ---------------------------- The selection process is conducted via Aira — a recruitment platform designed to enhance your application experience. To apply, you only need: 1\. Apply to the position 2\. Check your email 3\. Log in to Aira and respond to the questions and/or tests requested Then, if your profile matches our requirements, we will contact you by email (via Aira) to proceed to the in-person stage. **About** **Us** ---------------------- Auna is a leading organization whose primary commitment is to deliver health and wellbeing to its members and patients. We continuously pursue innovation to provide high-quality, accessible health solutions for everyone. We operate in Peru, Colombia, and Mexico and have over 14,500 employees. At Auna, we operate under a comprehensive, person-centered healthcare model — the most important pillar of our mission. **Our** **Benefits** --------------------------- * Health insurance * Training courses and workshops * Wellness activities * Meal subsidy * Product discounts