Medical Authorization Auditor

Description

Job Summary: We are seeking a Medical Authorization Auditor to evaluate medical services, ensuring quality of care and efficient use of resources. Key Highlights: 1. Active role in analyzing practices and continuously improving processes. 2. Participation in managing and optimizing departmental processes. 3. Professionals with solid clinical judgment and analytical capability. At Medicus, we are currently looking for a Medical Authorization Auditor to join our Medical Audit team. Purpose of the Position To provide technical-professional support in the evaluation and auditing of medical services, ensuring appropriate indication, quality of care, and efficient use of resources, in compliance with current regulations and internal organizational policies. The position will play an active role in analyzing practices, treatments, and health technologies, with a focus on continuous process improvement and supporting internal departments. Main Responsibilities Audit requests for diagnostic and therapeutic procedures. Evaluate services related to disability and high-complexity treatments. Validate prostheses, implants, and special materials. Prepare technical reports grounded in clinical and regulatory criteria. Participate in managing and optimizing departmental processes. Requirements Medical degree (mandatory). Specialization in Neurology, Neurosurgery, or Internal Medicine. Specialization or postgraduate training in Medical Auditing (mandatory). Prior experience in Medical Auditing. Experience in managing clinical and/or administrative processes. Profile We seek professionals with solid clinical judgment, analytical capability, and a comprehensive view of the clinical process, oriented toward service, teamwork, and commitment to quality of care. Work Schedule: Full-time, 8 hours per day, Monday to Friday. -Requirements- Minimum Education: Postgraduate degree 2 years of experience Age: between 30 and 60 years Keywords: audit, auditing, doctor, physician, medical