Description
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**Responsibilities and duties**
* Evaluate model approval decisions (approved vs denied);
* Compare decisions with feedback and medical justifications;
* Identify discrepancies between rules and clinical practice;
* Review and adjust the model's written rules;
* Document changes and clinical/analytical reasoning;
* Suggest improvements to increase accuracy and consistency;
* Support the standardization of decision criteria;
* Use BI and visualization tools to support decision-making;
**Requirements and qualifications** **Requirements:**
* Experience with data analysis or process review;
* Experience with decision models, business rules, or automated systems;
* Experience with quality review or model validation;
* Good ability to interpret technical texts (reports, medical opinions);
* Logical reasoning and attention to detail;
* Ability to identify patterns and inconsistencies;
* Clear writing for documenting rules and decisions;
* Knowledge of data analysis: SQL and Python (Pandas, Matplotlib);
* Experience with Power BI, Tableau, or Looker;
* Advanced knowledge of Excel;
**Desirable requirements:**
* Experience in the health sector (medical audit, regulation, insurers)
* Familiarity with clinical guidelines or medical protocols;
Compass UOL is a global firm and part of the AI Revolution Company, together transforming organizations using Artificial Intelligence, Generative AI, and other of today’s most advanced technologies.
We equip our team with proprietary and external AI\-driven tools to design and build digital\-native platforms, integrating cutting\-edge technologies and enabling companies to innovate, transform their businesses, and drive success in their markets.
To achieve this, we attract and develop the best talent, creating opportunities that enhance people’s lives and highlight the positive impact of disruptive technologies.
We empower borderless talent and promote knowledge and opportunities in the latest market trends, driving significant personal and professional growth.
**Join us and be part of the AI\-driven revolution.**