Medical Auditor, Orthopedist

🔥 30 minutes ago

🇧🇷 Brazil – Remote

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Grupo Fácil

WebsiteLinkedInAll Job Openings

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 regulation of medical requests within health plans and contracts with service providers • Issue specialized technical opinions and conduct medical audit analyses focused on Orthopedics and Spine Surgery • Analyze requests submitted by clients • Provide technical support for the constitution of Medical Boards (Juntas Médicas) • Provide service and carry out activities during business hours, working fully remotely (home office)

🎯 Requirements

• Completed medical degree • Active and regular registration with the regional Medical Council (CRM), including presentation of a 'Nada Consta' (no-record) letter from the professional council • Active Specialist Qualification Registration (RQE) in Orthopedics or Spine Surgery • Postgraduate degree completed in Medical Auditing • Minimum of 2 (two) years of proven professional experience in auditing • Relevant and consolidated clinical experience in Orthopedics/Spine Surgery • Solid knowledge of medical guidelines, procedures, fee schedules (e.g., AMB) and TUSS terminology • Basic computer skills and a strong professional commitment to self-manage remote work activities • Practice guided by ethics and strict confidentiality in handling sensitive patient information • Excellent communication skills (verbal and written), ability to manage deadlines/priorities and ease working in a team • Extensive familiarity with regulation of OPME (Orthoses, Prostheses and Special Materials) most frequently used in Orthopedics and Spine Surgery • Solid knowledge and familiarity with ANS (National Supplementary Health Agency) regulations, technical opinions and health plan policies • High analytical capability to review medical and procedural information in a critical, impartial and decisive manner