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MD-Expert:in (m/w/d) – Prüfmanagement

Valova
Contract type
Ongoing
Work mode
Remote · Germany
Experience
Mid-level · 3+ years

Job description

MD (Medical Service of the Health Insurance Funds) expert who translates audit rules, deadlines and case-review logic into product requirements and supports hospitals using Valova's AI software.

At a glance

Employment
Full-time · Employee (employment agreement)
Work mode
Remote · Germany
Languages
German – fluent

What you'll do

  • Translate audit subjects, PrüfvV deadlines and audit-quota logic into clear functional requirements
  • Develop rules and test cases that detect audit-prone cases and documentation gaps before invoicing
  • Define how Valova prepares a verifiable argumentation for each case, from document selection to objection
  • Track PrüfvV, audit quotas and case law and bring changes into the product

What we're looking for

  • Completed training in a health profession with further qualification as a coding specialist or in medical controlling, or a medical degree
  • At least three years in the MD audit process, ideally as an assessor at the Medical Service, alternatively in a hospital's medical controlling
  • Knowledge of ICD-10-GM, OPS, DKR and PrüfvV and understanding of why expert opinions fail
  • Precise thinking: questioning processes and describing rules precisely enough for software to implement
  • Strong communication with physicians, MD, payers and technical teams

Nice to have

  • Experience with hospital information systems or audit-management software (e.g. Orbis, SAP IS-H, i.s.h.med) or software implementations
  • Experience with social court proceedings
  • First experience with data analysis (Excel, SQL) or AI applications

Benefits

  • Flexible working hours, 30 to 40 hours per week, permanent contract
  • 100% remote across Germany, optionally with the team in Munich or Berlin
  • Fair salary based on experience, at least at hospital level; the concrete range is shared in the first conversation
  • Meaning with leverage: relieve coding teams in many hospitals at once
  • Direct access to the founders, no hierarchy levels
  • Travel costs are covered

How to get hired

  1. 1First introductory conversation after applying
  2. 2In-depth exchange about your experience and your sales approach
  3. 3Final meeting with the team in person in Berlin or Munich

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About Valova

AI software for hospitals that automates administrative processes in documentation, coding and billing

An ambitious team from medicine, technology and business working to sustainably change hospital administration

Mission

To relieve clinical teams, secure revenues and create more time for patients

Key facts

  • Audit quotas are set to rise significantly from 2027
  • Founder Sophia is a physician and former McKinsey consultant
  • Founder Christian founded two health-tech startups and built clinical systems for a decade

What they value

  • No hierarchy levels, no waiting weeks for approvals