Rheumatologist Medical Auditor – Prospective Audit

Job not on LinkedIn

🕒 April 15

🇧🇷 Brazil – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 65%

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

• Evaluate eligibility and authorize medical procedures for health plan members through an online system • Conduct prospective audits (technical utilization management) • Provide written comments, conclusions, and recommendations after reviewing authorization requests • Issue technical opinions within the relevant area of expertise • Request reports from the audited party when necessary • Act impartially when issuing technical reports and opinions

🎯 Requirements

• Completed medical degree • Postgraduate specialization in Rheumatology • Active and unrestricted registration with the Regional Council of Medicine (CRM) • Proven experience in prospective auditing • Strong knowledge of medical guidelines, procedures, AMB reimbursement tables, and TUSS terminology • Proficiency in Microsoft Office • Ethics statement • Preferred: experience working in multidisciplinary teams • Preferred: experience with a health insurance provider • Preferred: postgraduate specialization in auditing • Preferred: familiarity with ANS regulations, technical opinions, and health plan policies

🏖️ Benefits

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