NETWORK ANALYST - MANAUS

Description

Job Summary: Manage the network of accredited providers, offering administrative support and maintaining relationships, with a focus on service quality for customers. Key Highlights: 1. Management and maintenance of the network of accredited providers 2. Relationship management and support for providers and internal customers 3. Analysis and contractual compliance of services Join a company that is a market reference in supplementary health care and delivers value to shareholders, physicians, and customers. To be part of this team, you must: Respect and value diversity; empathize with everyone; have the courage to dare; take initiative; enjoy caring for people; enjoy doing, changing, and transforming. \#Unimed \#UnimedWayOfCaring **Responsibilities and Duties** * Manage the network of accredited providers by delivering administrative support, maintaining relationships, assisting in prospecting and updating registrations, supporting contract development, and preparing management reports—all focused on service quality and availability for customers, under supervision. * Control processes through the creation of dashboards and presentations, ensuring monitoring of activities and results. * Promote and maintain relationships with accredited providers via regular visits and contacts, verifying service quality, identifying needs, and tracking complaints and inquiries to resolution—aiming to strengthen relationships and implement improvements. * Manage the network of accredited providers by maintaining the Direct Network and supporting the prospecting of new providers—including physicians, clinics, and hospitals—through visits or meetings, presenting Unimed Nacional and its advantages to ensure accreditation and compliance with legal requirements. * Analyze negotiation fee schedules and accreditation proposals, ensuring network sufficiency in the operational region and keeping the network updated. * Monitor compliance with contractual clauses and service quality, conducting meetings for adjustments or de-accreditation when necessary. * Provide support to accredited providers—clarifying inquiries, keeping registrations updated, evaluating and processing documentation and contracts—and taking necessary actions for contract development. * Ensure providers’ documentary compliance by sending required documentation to responsible departments in accordance with ANS (National Supplementary Health Agency) requirements. * Support internal customers in resolving issues with providers, mediating workflows and conducting visits and meetings when necessary. * Comply with regulatory standards, collaborating with the Legal Department, Ombudsman’s Office, Customer Service Center, and customer and Unimed relationship teams to resolve issues. * Manage administrative demands—including incoming and responding to e\-mails, workflows, and requests from Legal, Ombudsman, and Customer Service departments—and prepare reports for management. * Comply with and enforce internal regulations, quality management system requirements, ANS regulations, and occupational health, hygiene, and safety norms inherent to the sector—including use of PPEs/collective protective equipment (PPE/CPE) where required by the activity. * Perform other duties inherent to the position or as directed by the immediate supervisor, provided the employee is qualified and such duties align with their knowledge and experience. **Requirements and Qualifications** Completed undergraduate degree Knowledge of AMB, CBHPM, SIMPRO, and Brasindice fee schedules Advanced proficiency in Excel and PowerPoint Dashboard development knowledge preferred Power BI tools knowledge preferred Experience in Supplementary Health or related fields preferred Availability to work from 8:00 AM to 5:00 PM, 5 days per week, hybrid model **Additional Information** **What You’ll Get Here:** **Health and Well\-Being** * **Medical Assistance:** Outpatient, hospital, and obstetric coverage for you and your legally recognized dependents. * **Dental Assistance:** Plans with company subsidies covering procedures ranging from basic treatments to orthodontics and prosthetics. * **Pharmacy Benefit:** Convenient access to medications at accredited pharmacies with payroll deductions and limits based on salary. * **Wellhub (Gympass):** Wellness platform providing access to gyms and health apps—extendable to up to 3 dependents. **Meals and Food** * **Meal Card:** Daily credit for working weekdays to cover daily meals. * **Food Card:** Monthly no-cost credit to assist with grocery purchases. **Protection and Future** * **Private Pension Plan:** Company-established plan to support financial reserve building and future income. * **Life Insurance:** Coverage for death and permanent disability, ensuring financial protection for you and your family. * **PPR (Profit Sharing Program):** Annual reward based on achievement of the cooperative’s collective goals. * **Mobility and Commute** * **Transportation Voucher:** Available for commuting between residence and workplace under in\-person or hybrid arrangements. * **Parking:** Agreements with parking networks near company locations. **Quality of Life and Partnerships** * **Day Off:** One additional day off granted after your birthday, to enjoy as you wish. * **Benefits Club:** Partnerships and discounts with educational institutions, language schools, and leisure options. We are responsible for the national operation of Unimed brand health plans. We market corporate medical assistance with nationwide coverage, delivering health and well\-being to over 2 million lives. With a human\-centered approach and commitment to care, we continually seek ways to strengthen relationships with our employees, beneficiaries, customers, and partners—providing an ever\-better experience for all. Unimed Nacional values and supports diversity. People with disabilities, and individuals across racial, ethnic, religious, gender, and gender identity spectrums, nationality, sexual orientation, and age groups are considered for all our positions, as we believe in the importance of cooperation, sharing ideas, and diverse perspectives. Everyone is welcome. **\#WeAreUnilover \#Unimed**