Medical Auditor

• 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.

• 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.

• 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