Medical Auditor

Job not on LinkedIn

🔥 1 hour 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

• Conduct online eligibility assessments and authorize medical procedures in accordance with the guidelines and policies of client health plans. • Issue well-founded technical opinions for elective, urgent, and emergency procedure requests during business hours through a dedicated information system. • Review requested procedures with a high degree of accuracy, based on sound medical criteria and applicable regulations. • Ensure the confidentiality and integrity of medical information and patient records, in compliance with the company’s and client health insurers’ LGPD requirements throughout the audit process.

🎯 Requirements

• Bachelor’s degree in Medicine. • Active and unrestricted registration with the relevant professional medical board (CRM), supported by a certificate of good standing from the professional council. • Completed postgraduate qualification in Medical Auditing, with at least two (2) years of proven professional experience in the field. • Relevant and diverse clinical experience across different medical specialties. • Active CNPJ (Brazilian corporate tax registration). • Strong knowledge of medical guidelines, clinical procedures, reimbursement tables (e.g., AMB), and TUSS terminology. • In-depth familiarity with ANS regulations, preparation of technical opinions, and health plan operating policies. • Strong analytical skills to critically, impartially, and decisively review medical information. • Impeccable ethical standards and strict confidentiality when handling sensitive information. • Excellent ability to manage deadlines and priorities in a dynamic, high-demand environment. • Strong professional commitment, discipline, and organizational skills to work remotely. • Collaborative approach and ability to work effectively with other healthcare professionals. • Excellent written and verbal communication skills. • Basic computer skills and the ability to adapt easily to new management systems.

🏖️ Benefits

• Remote work • Contractor engagement under a PJ arrangement • Business-hours schedule • Affirmative opportunity for LGBTQIA+ people • Affirmative opportunity for Black people • Affirmative opportunity for Indigenous people • Affirmative opportunity for people aged 40 and over • Affirmative opportunity for women