Medical Audit Manager

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🔥 1 minute ago

🗣️🇧🇷🇵🇹 Portuguese Required

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Logo of Arvo

Arvo

51 - 200 employees

Founded 2022

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

☁️ SaaS

🔥 Funding within the last year

💰 $20M Series A - Arvo on 2025-09

Artificial Intelligence • Healthcare Insurance • SaaS

Arvo is an AI-powered platform that helps health insurers and operator-of-health-plans detect and prevent fraud, errors and waste in medical claims and reimbursements. The company applies advanced machine learning and image and document analysis to identify complex patterns and anomalies across large claims datasets, generate automated audit critiques, validate information and ensure regulatory and contractual compliance. Arvo delivers a plug-and-play SaaS solution integrated with insurers' systems to drive immediate cost savings and operational efficiency for payers.

📋 Description

• Size, plan and manage the productive capacity of the expanding medical audit operation. • Recruit and select new professionals (physicians and nurse auditors) to build the team across multiple states. • Structure and lead the national audit team, ensuring technical and cultural alignment with Arvo's objectives. • Oversee the daily audit operation, ensuring quality, timeliness and accuracy of deliverables. • Develop and manage the team's and operation's success metrics (KPIs). • Actively participate in strategic review meetings and client and partner presentations, traveling when necessary.

🎯 Requirements

• Medical degree (MD or equivalent). • Proven experience leading and managing health audit teams. • Proven experience managing audit operations across multiple states (with emphasis on Rio de Janeiro and São Paulo). • Ability to recruit, hire and engage healthcare professionals across multiple states. • Availability for occasional travel to other states for client visits and alignments.

🏖️ Benefits

• Medical and Dental Insurance (Bradesco plan) • Flexible Benefit Card (Flash) — R$ 1,080.00 • Gym subsidy (Wellhub)

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