„Grupo Fácil“ kuria technologinius ir verslo sprendimus sveikatos priežiūros organizacijoms bei finansų įstaigoms. Daugiau nei 29 metų patirtį turinti grupė vienija kelias įmones, daugiausia dėmesio skiriančias klientų aptarnavimui, techninei kompetencijai ir projektams, pritaikytiems prie kintančių rinkos poreikių. Grupės veikla apima sveikatos priežiūrą, finansus ir finansines technologijas, padedant organizacijoms, kurioms reikia patikimų technologijų ir praktiškų sprendimų sudėtingiems veiklos iššūkiams.
Medical Auditor — Remote Contract at Grupo Fácil
Medical auditor responsible for reviewing healthcare procedures for Grupo Fácil. Analyzes authorization requests and prepares technical opinions remotely in line with clinical and regulatory standards.
Aprašymas
- Conduct technical utilization reviews of medical procedures, evaluating requests against current clinical and regulatory criteria through the company’s proprietary system.
- Prepare well-supported technical opinions for authorizations and requests involving elective, urgent, and emergency procedures.
- Maintain review compliance and quality while handling operational requirements efficiently.
- Work remotely with availability during standard business hours.
- Support sustainable healthcare operations and high-quality beneficiary care.
Reikalavimai
- Bachelor’s degree in Medicine.
- Active, unrestricted registration with the relevant medical board (CRM), including a certificate of good standing from the professional council.
- Completed postgraduate training in Medical Auditing.
- At least two years of demonstrated professional experience in medical auditing.
- Broad clinical experience spanning multiple medical specialties.
- Strong knowledge of medical guidelines, procedures, reimbursement tables such as AMB, and TUSS terminology.
- Basic computer proficiency and familiarity with management systems.
- Strong analytical judgment for reviewing medical information critically, impartially, and decisively.
- High ethical standards and strict confidentiality when handling sensitive information and patient records.
- Excellent deadline and priority management in a fast-paced environment, with discipline and professional commitment in remote work.
- Ability to collaborate effectively with teams and other healthcare professionals.
- Extensive knowledge of ANS regulations and standards in Brazil’s supplementary healthcare sector.
- Solid experience preparing technical opinions and operational policies for health plans.