Proceso contratación prestadores Coomeva Eps, Cali

Abstract

This project was carried out in the city of Cali, in the facilities of the company COOMEVA EPS SA, organization of the cooperative group COOMEVA that is in charge of the administration of the health resources of a part of the Colombian labor population and their families. In the contributory and subsidized regime. The main objective of the work is to analyze all the activities of the contracting process of providers in the area related to the provider, which deals with everything related to contracting to attend the health services required by the affiliated population in the city of Cali. , seeking to improve the process in the times of elaboration of the contracts to provide a better service to the affiliates. To make the analysis of the process, the documentation of the same and all its activities were searched in the documentary support software of the quality management system of the company called Daruma, in order to carry out the gathering of the required information such as tasks, times, resources, suppliers, technological tools, documents, among others. With the information obtained, the current situation and the situation of possible improvement scenarios were modeled to compare the results and find opportunities for adjustments and corrections in all the activities of the process, using the process simulation software called Arena. As a result of the process, it was found that there are activities that can be merged with others, there are activities that can be developed efficiently using technological resources and trained and competent personnel to reduce the management time of the hiring in the relationship process with the provider.