[Skip to main content](#main-content)

[OpenNash Jobs](https://jobs.opennash.com/)
[Hiring report](/reports/hiring/) · [All Ping An Insurance Group jobs](https://jobs.opennash.com/companies/ping-an-insurance/) · [Search jobs](/search/)

Ping An Insurance Group · 厦门市

# 审核作业岗-厦门

厦门市 

Listed on Ping An Insurance Group’s official careers site. Posted February 18, 2021. Check that it is still open and apply there.
[Apply on Ping An Insurance Group’s careers site →](https://talent.pingan.com/recruit/position.html?positionId=E5030769EAF842E795C398AF56FA99E4)

[OpenNash Jobs](https://jobs.opennash.com/) / [Ping An Insurance Group](https://jobs.opennash.com/companies/ping-an-insurance/) / 审核作业岗-厦门

## Job description

岗位职责
- 地方三目录、医保政策、物价表、历史扣费清单及其他相关材料。
- 评估是否有疾病库、医师库、科室库、医嘱是否上传、是否上传日清单等，有助于评估支持的规则。
- 确认是否有个性化功能需求，个性化需要建议基于医保政策进行。
- 逐条沟通可上线规则，提供建议阈值；建议优先选择三目录依从性及本地化规则，确认一期选定规则。
- 事后审核需与医保沟通确认审核流程及每个环节时效。
- 借助FWA系统和病案质控系统，开展数据筛查、费用预警、异常提醒、分析核查、病种审核等工作。
- 配合医保部门开展对两定机构的日常巡查和稽核工作。
- 配合医保部门开展飞行检查工作。 任职资格
- 全日制本科及以上,医学、药学、保险、金融、法律等相关专业背景，如有相关从业经验可放宽专业限制。
- 具有医疗行业或保险运营工作经验，有社保，卫生部门/同业理赔、医疗支持、医保、合署办公经验或该行业工作经验者优先。
- 熟悉医药，临床知识，熟练使用office软件。
- 项目管理能力，沟通协调能力，有较强的逻辑思维能力。

## At a glance
- Posted by the employer: Feb 18, 2021
- First seen by OpenNash: Oct 20, 2026
- Last checked: Oct 20, 2026
- Listed for: Over a year
- Location: 厦门市[Apply on Ping An Insurance Group’s careers site →](https://talent.pingan.com/recruit/position.html?positionId=E5030769EAF842E795C398AF56FA99E4)

## More jobs at Ping An Insurance Group

### [业务推动岗](https://jobs.opennash.com/companies/ping-an-insurance/jobs/77d5d90ae7802cbed264/)

厦门市

### [业务支持岗](https://jobs.opennash.com/companies/ping-an-insurance/jobs/0794dcd5f2042d4b63bb/)

厦门市

### [业务管理室经理](https://jobs.opennash.com/companies/ping-an-insurance/jobs/956770a1e31fdd05ec4e/)

厦门市

### [个贷业务团队长](https://jobs.opennash.com/companies/ping-an-insurance/jobs/bd2a6bdbcb3278b83c5a/)

厦门市

### [个贷业务团队长（自营）](https://jobs.opennash.com/companies/ping-an-insurance/jobs/0c1396f7b6f0aa752fec/)

厦门市

OpenNash lists jobs from employers’ own careers sites and does not handle applications.
Dates come from the employer where stated; “first seen” and “last checked” are our own observations.

OpenNash Jobs · Official listings with dates and links to the employer. [Weekly hiring report](/reports/hiring/) · [Methodology](/methodology/)