Aids Manager with Focus on Rehab Technology

Diverse in skills. Humanly close. Relevant for society. At DAK-Gesundheit, one of Germany's largest health insurance funds, we combine social responsibility with a work environment where people matter. We offer security, fair conditions, and diverse opportunities for professional development and together contribute to a sustainable healthcare system. As an employer, we stand for diversity, respect, and strong togetherness. Welcome are all people who share and live these values. Our specialist centers for aids are responsible for benefit decisions in the area of aids and care aids and control cooperation with service providers. The goal is an economical and high-quality supply for our insured. Overall, the specialist centers make an important contribution to care and customer management of DAK-Gesundheit. The duty station of the position is in Wetzlar.

• Advice and information for insured persons on benefits of aids provision with focus on rehab technology, mobility aids, seat cushions, and aids and care aids
• Examination of medical prescriptions and cost estimates for medical necessity, contract compliance, and economy
• Professional assessment of complex rehab supplies and decision on approval, rejection, or adjustment of benefits by type and scope
• Examination and assessment of supply alternatives considering purchase, loan, and reuse of aids
• Control and accompaniment of the entire supply process from application to final benefit processing
• Coordination with medical supply stores, rehab technology companies, contracted physicians, the medical service, and internal departments
• Ensuring compliance with contractual regulations and participation in benefit negotiations with service providers
• Analysis of supply and market data to promote transparency, quality, and economy in the rehab aids sector
• Careful documentation of benefit decisions and transparent communication with insured persons and business partners

• Completed training in healthcare, further education as a specialist in healthcare and social services (IHK) or a comparable completed qualification in the field of aids provision
• At least 2 years of relevant professional experience in the aids sector
• Very good knowledge or practical experience in the field of rehab technology, aids provision, or with service providers in the aids market
• Medical understanding and knowledge of social insurance law (SGB V) or willingness to acquire them
• Understanding of medical and business contexts and the ability to make benefit decisions considering quality, economy, and legal requirements
• Proficient in MS Office; experience with health insurance or administrative systems is an advantage
• Strong customer and service orientation, communication skills, analytical ability, and a structured, independent way of working
• German language skills at least at level C1