Grupo Fácil
501 - 1000 employees
Founded 1996
💸 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.
Medical Auditor - Neurology
Job not on LinkedIn
🕒 April 15
🗣️🇧🇷🇵🇹 Portuguese Required
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Grupo Fácil
501 - 1000 employees
Founded 1996
💸 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 regulatory reviews; • Communicate in writing to the appropriate parties your observations, conclusions and recommendations after reviewing claim/authorization forms; • Issue technical opinions within your area of expertise; • Report to Medical Coordination any indications of ethical or legal misconduct identified; • Request reports from the audited party when necessary; • Act impartially when issuing technical reports and opinions; • Stay up to date with 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 operators' LGPD (Brazilian General Data Protection Law) requirements throughout the audit process.
🎯 Requirements
• Medical degree (completed); • Postgraduate specialization in Neurology; • Active and regular registration with the Regional Medical Council (CRM); • Experience in prospective auditing; • Specialty in Neurology or Neurosurgery; • Proficient in Microsoft Office (Office Suite); • Ethics declaration; • Experience working in multidisciplinary teams; • Experience at a health insurance operator; • Postgraduate specialization in auditing or related fields; • Familiarity with ANS (Brazilian National Supplementary Health Agency) regulations, technical opinions and health plan policies; • Technical reading proficiency in English.
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