Neurology Medical Auditor

Job not on LinkedIn

Likely ghost job

🕒 April 15

🇧🇷 Brazil – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 65%

infoinfo

🗣️🇧🇷🇵🇹 Portuguese Required

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Logo of Grupo Fácil

Grupo Fácil

501 - 1000 employees

Founded 1996

🏥 Healthcare

💸 Finance

💳 Fintech

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.

📋 Description

• Perform technical utilization review • Communicate observations, conclusions, and recommendations in writing after reviewing medical authorization requests • Issue technical opinions within the scope of expertise • Report evidence of potential ethical violations to the Medical Coordination team • Request reports from the audited party when necessary • Act impartially when issuing reports and technical opinions • Stay up to date on the latest medical practices, clinical guidelines, and regulations related to health plans • Ensure the confidentiality and integrity of medical information, complying with the company’s and client insurers’ LGPD requirements throughout the audit process

🎯 Requirements

• Completed medical degree • Postgraduate specialization in Neurology • Active and regular registration with the Regional Council of Medicine (CRM) • Experience in prospective auditing • Specialization in Neurology or Neurosurgery • Proficiency in Microsoft Office • Ethics statement • Experience working in multidisciplinary teams • Experience with a health insurance provider • Postgraduate specialization in auditing or related fields • Familiarity with ANS regulations, technical opinions, and health plan policies • Technical reading proficiency in English

🏖️ Benefits

• All of our positions are open to people with disabilities (PwD)

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