Medical experts for the inpatient statutory health insurance division (structural review) (m/f/d)

We support and advise, as an independent expert service, the medical service of Lower Saxony, statutory health insurance and social care insurance in all medical and nursing matters. Whether the quality of care facilities or care services is to be tested, treatment errors are suspected or questions about new treatment methods are to be assessed independently: we are here. With around 1,300 colleagues at 12 locations. Experience a work that is worthwhile – in the sense of our self-understanding – human. Digital. Stupid. We introduce medical examiners in the team structural checks on the basis of the legal tasks newly transferred to us by the hospital care improvement law (KHVG) which entered into force on 12.12.2024. Senior Account Manager (m/w/d) Employment: Full or part-time Duration: unlimited Experience: With professional experience

You shall ensure the assessment of structural checks, including on-the-spot checks. You are responsible for carrying out OPS structural checks, including the processing of contradictions and expert reports for social court proceedings, structural checks according to MD-QK-RL and quality criteria tests according to KHVG. You advise health insurance companies and their national associations on questions of structural checks. You are versed in cooperation with other business areas such as the IT or the service area GKV Stationär. You actively participate in the nationwide and nationwide working and project groups.

You have completed specialist training and ideally possess the additional name of social medicine. You bring knowledge of the German health system, mainly in the field of stationary hospital treatment. You are versed in carrying out structural checks and are interested in the processing of social medical issues. You are characterized by a structured discussion and the ability to combine, classify and evaluate information. You have acquired the class B licence and are characterised by flexibility and mobility as well as a high communication capability. You are safe in handling MS Office products, especially Word, Excel, Outlook.

A responsible and sensuous task as well as a dedicated and friendly team. Flexible working hours that allow you to combine work, family and leisure. Qualification and training courses for professional and personal development. A modern workplace with up-to-date technical equipment, which also allows work from the home office. In addition, dogs are welcome at the office. Business health services, such as the “Hansefit” sports association system, with which you can use highly-favoured sports and fitness services thanks to the employer’s grant, as well as sustainable and flexible mobility through the “Germany Ticket”. Occupational pension (VBL), asset-effective benefits and corporate benefits. .