Medical Operations Manager (f/m/d) at Medigo GmbH

Berlin, , Germany -

Full Time

Start Date

Immediate

Expiry Date

10 Sep, 26

Salary

0.0

Posted On

12 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Assessment, Claims Management, Cost Containment, Medical Invoicing, Case Management, Stakeholder Communication, English Fluency, German Fluency, Medical Forecasting, Detail Orientation

Industry

Hospitals and Health Care

Description

General Information As Medical Operations Manager (f/m/d) at Medigo, you will be part of a close-knit team handling incoming medical insurance claims and medical reports while providing the best possible support for the insured members undergoing medical treatment. The position is available at the earliest possible date, is offered full-time or part-time, and located in Berlin. Medigo works on a hybrid model where office attendance is required 2 days a week. Your Tasks & Responsibilities You provide thorough medical assessments of incoming health insurance claims, including pre-existing condition checks and reasonable & customary price analysis. You use your professional advice to provide input on the necessity of medical procedures and cost forecasting. You scrutinize medical invoices to identify errors and generate potential savings, are responsible for applying best practices in cost containment, and challenge medical facilities in case of errors. You liaise with medical providers before, during, and after admission to inquire about the patient’s status and avoid unnecessarily prolonged admissions. You actively manage complex medical cases and coordinate between the provider, the insurance company and the member. You are responsible for the delivery of Second Medical Opinions (SMOs) and responsible for liaising with our insurance partners on the most complex admissions. You have the opportunity to influence and improve our processes and best practices by bringing in your own ideas. Your Profile You have acquired medical experience during your studies, apprenticeships, and/or practical work in a medical facility such as a hospital or clinic. Ideally, you have studied Medicine at University. Prior experience in medical service management with a public or private health insurance company or a Third Party Administrator (TPA) is a big plus. You are fluent in English and German. Other languages are a plus, particularly Polish. You are a professional and empathetic communicator, a genuine and active listener, and confidently lead conversations with different stakeholders. You are a true detective: you are known for your extremely diligent way of working and for being very detail-orientated. As an absolute team player, you comfortably ask others for help and readily offer your support wherever it is needed. You have a valid work permit for Germany. Our Offer Be part of an innovative, truly international company and have the opportunity to make a real difference in people’s lives in times when they need it the most. Develop your skills within an ambitious, professional, and supportive team, in a company where independent thinking and taking responsibility are encouraged. A holistic, in-depth, and supportive onboarding process. A start-up atmosphere, lots of room to bring in your ideas, as well as the flexibility of hybrid working. Our Tech Stack Contact Our Talent & Culture Manager Questions? Reach out to Esra at esra.issa@medigo.com! About us Who we are Headquartered in Berlin, Medigo is an international provider of medical assistance and claims management services. As a Third-Party Administrator, we help insurance companies and other stakeholders of the health and travel insurance industry with medical services globally. Our global network of medical providers in 125+ countries, our proprietary claims management software, and our experienced team make us a go-to partner for companies from around the world. Medigo is supported by Atlantic Labs, and employs a driven, diverse, and international team. Join us and become a part of our mission : to make access to healthcare seamless and cashless.

Responsibilities

Perform medical assessments of insurance claims and analyze medical invoices to identify errors and cost-saving opportunities. Coordinate complex medical cases between providers, insurance companies, and members while delivering second medical opinions.