• Mantenimiento del SGCN Implementar y actualizar el Sistema de Gestión de Continuidad del Negocio, asegurando su alineación con las normas y regulaciones aplicables (CMF, ISO 22301). • Análisis de impacto al negocio (BIA) y análisis de riesgos (RIA) Definición e implementación del análisis de impacto al negocio (BIA) y el análisis de riesgos de interrupción (RIA), identificando los procesos críticos y sus dependencias. • Planes de Continuidad del Negocio (BCP) Desarrollar, mantener y actualizar los Planes de Continuidad del Negocio, asegurando que estén vigentes, validados y disponibles para su activación ante una contingencia. • Planes de Recuperación ante Desastres (DRP) Apoyar la elaboración y mantenimiento de los planes de recuperación ante desastres, coordinando con las áreas de Tecnología y Operaciones para asegurar su viabilidad técnica. • Pruebas y simulacros de continuidad Planificar, coordinar y ejecutar pruebas periódicas de continuidad (simulacros de crisis, recuperación ante desastres, failover), documentando resultados y liderando acciones de mejora. • Capacitación y cultura de continuidad Diseñar y realizar capacitaciones sobre los planes de continuidad del negocio para las áreas críticas, promoviendo una cultura de preparación y respuesta ante contingencias. • Gestión y atención de incidentes Apoyar la gestión del incidente, orquestar y movilizar equipos, analizar y reportar los incidentes operacionales, asegurando la trazabilidad completa del evento y la comunicación oportuna al ente regulador cuando corresponda. • Actividades de la Gerencia Apoyar en las tareas de asignación internas dentro del equipo.

• Combine deep medical coding expertise with strong business analysis capability to support healthcare system operations and implementations • Act as a bridge between operational areas, delivery teams, and client stakeholders, ensuring that coding, billing, and policy requirements are clearly defined, accurately implemented, and well documented • Play a key role in strengthening alignment between functional areas and delivery, translating complex concepts into clear, actionable guidance that supports both system solutions and day-to-day operations for Medicaid programs • Develop and own structured solution artifacts and operational deliverables that define coding, billing, or policy-related changes, driving them end-to-end from initial definition through review, coordination, testing alignment, implementation, and closure • Elicit, document, and manage business, functional, and operational requirements, translating complex medical coding and billing concepts into clear, actionable deliverables • Author and maintain claims processing instructions, policy documentation, and operational guidance in clear, plain language to support both internal teams and client stakeholders • Analyze coding, billing, and claims-related processes and system impacts, ensuring alignment across functional areas and with technical solutions • Serve as a bridge between operations, Business Analysts, and delivery teams, ensuring consistent understanding and application of coding and policy requirements • Participate in and support requirements workshops, design sessions, operational discussions, and client walkthroughs • Ensure adherence to established standards, templates, and documentation practices across all deliverables • Maintain project coordination and communication activities, including capturing and distributing meeting outcomes, tracking status of work items, and providing updates to Project Managers, Business Leads, and stakeholders • Provide guidance to other BAs and functional teams on coding, billing, and policy-related topics, strengthening consistency across the team

• The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. • Interprets patient medical records and reviews cases with the insurance nurse reviewer. • Accurately enters information into multiple computer programs and insurance websites.

Analyze and implement systemic changes for regulatory reporting, conduct root cause analysis, collaborate with partners to resolve issues, and support statistical data delivery for compliance and reporting purposes.