Unimed Nacional logo
Unimed NacionalPosted 3 weeks ago

Auditor de Saúde II (Vaga Médica)

HybridSão Paulo, São Paulo, Brazil

Full TimeLarge

Job Summary

Conduct medical account audits, analyze medical guides for eligibility and ANS compliance, and manage claims denials through formal glosas in ambulatory and hospital services. Execute billing audits based on contracts, agreed tables, and current legislation while addressing manifestações, ouvidoria, and liminares. Requires Superior in Medicine degree, CRM registration, and experience with NIPS and regulatory norms. Full-time role with hybrid schedule, offering comprehensive medical and dental benefits, gym access, and annual result participation program.

Required Qualifications

  • Superior em Medicina
  • Registro no CRM
  • Experiência com normas regulatórias, NIPS, Ouvidoria e Liminares

Desired Qualifications

  • Desejável Pós graduação em gestão de serviços de saúde

Hiring someone like this?

Get your role in front of qualified candidates on Sorce.

Get started

Apply to this job in one click with Sorce

Apply on Sorce