Medical Auditor – Cardiologist

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18 hours ago

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Grupo Fácil

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Healthcare • Finance • Fintech

Grupo Fácil is a national reference in technology and solutions for the Healthcare and Financial institutions sectors, with over 29 years of experience. The group is composed of several companies that excel in customer service and technical excellence, focusing on delivering surprising results and being closely connected to market trends. Grupo Fácil prides itself on its solidity and boldness in undertaking projects that set a benchmark in the industry.

501 - 1000 employees

Founded 1996

💸 Finance

💳 Fintech

📋 Description

• Conduct technical regulatory analyses; • Communicate in writing to the appropriate parties their observations, conclusions, and recommendations following review of medical authorization/claim forms; • Issue technical opinions within their area of expertise; • Report any evidence of ethical misconduct to Medical Coordination; • Request reports from the audited party when necessary; • Act impartially when issuing reports and technical opinions.

🎯 Requirements

• Degree in Medicine (MD or equivalent); • Active and regular registration with the Regional Medical Council (CRM); • Experience in prospective medical auditing; • Specialization in Cardiology; • Proficiency with Microsoft Office; • Signed ethics declaration. • Experience working in multidisciplinary teams; • Experience in a health insurance operator (health plan provider); • Postgraduate specialization in auditing or related fields; • Ability to read technical documents in English.