Medical Operations Manager (f/m/d)

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

• Provide thorough medical assessments of incoming health insurance claims, including pre-existing condition checks and reasonable & customary price analysis.
• Use professional advice to provide input on the necessity of medical procedures and cost forecasting.
• Scrutinize medical invoices to identify errors, generate potential savings, apply best practices in cost containment, and challenge medical facilities in case of errors.
• Liaise with medical providers before, during, and after admission to inquire about the patient’s status and avoid unnecessarily prolonged admissions.
• Actively manage complex medical cases and coordinate between the provider, the insurance company and the member.
• Responsible for the delivery of Second Medical Opinions (SMOs) and liaising with insurance partners on the most complex admissions.
• Opportunity to influence and improve processes and best practices by bringing in own ideas.

Your Profile

• Acquired medical experience during studies, apprenticeships, and/or practical work in a medical facility such as a hospital or clinic. Ideally, 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.
• Fluent in English and German. Other languages are a plus, particularly Polish.
• Professional and empathetic communicator, genuine and active listener, confidently leads conversations with different stakeholders.
• Detail-oriented and diligent in work, known for thoroughness.
• Team player who asks for help and offers support where needed.
• Valid work permit for Germany.

Our Offer

• Part of an innovative, truly international company and the opportunity to make a real difference in people’s lives during critical times.
• Develop skills within an ambitious, professional, and supportive team where independent thinking and taking responsibility are encouraged.
• A holistic, in-depth, and supportive onboarding process.
• A start-up atmosphere, room to bring in ideas, and flexibility of hybrid working.