Accreditation Analyst

Description

Job Summary: The professional will be responsible for negotiating, formalizing, and managing contracts with healthcare service providers, ensuring compliance and up-to-date status. Key Highlights: 1. Vacancies valid for persons with disabilities (PCD) 2. Growing company focused on healthy aging 3. Involvement in negotiation and contract management within supplementary health Working at MedSênior means feeling cared for. It means living the purpose of healthy aging, building an inspiring culture aligned with our core values. We are a dynamic company, and our expansion offers constant opportunities for everyone. Together, we are Bem+. We operate in 8 Brazilian states and have expansion plans—would you like to join this purpose? Learn more about open positions and apply. Our vacancies are also open to persons with disabilities (PCD). \#MedSênior \#vacancies \#hiring \#opportunities \#technology \#health \#hiring **Important: We do not charge any fees during our selection processes.** **Responsibilities and Duties** * Negotiate contractual adjustment indices as stipulated in contracts and/or determined by management for accredited service providers’ services, to maintain contract updates. * Implement adjustments upon request from accredited service providers via email; draft contractual addenda including the respective adjustment indices. * Guide the Accreditation Assistant regarding document review for the checklist of new external service providers—including accredited providers—and internal service providers, performing necessary document updates to ensure current information. * Formalize contracts and addenda according to the ANS (National Health Agency) list for service provider accreditation after negotiation completion, verifying adherence to terms agreed upon by the Executive Board, thereby ensuring regulatory compliance and meeting corporate demand. * Monitor and/or negotiate contractual terms with service providers to implement accreditation and/or service delivery, concluding and formalizing agreements through contracts or addenda. * Formalize received, processed, and ongoing requests via email to superiors for tracking, awareness, and support in resolving sensitive cases. * Conduct critical analysis of received contracts and addenda for new accreditation and contract updates, seeking guidance from department heads of interfacing areas (Medical Billing, DAC, Finance) and/or the Legal Department when required, to provide consistent feedback to service providers. * Search for codes in the TUSS table and proprietary tables for Packages, Materials, Medications, Daily Rates, and Fees, as provided by the Provider Registration area, to include in accreditation contracts and addenda. * Identify changes in information contained in the Medical Directory and perform corresponding updates to keep it current. * Prepare letters, official correspondence, reports, spreadsheets, charts, and other documents as directed by the Sector Coordination, to supply necessary information for contract negotiations. * Prepare comparative value reports to support managerial analysis for applying adjustments, accreditation proposals, and counterproposals. * Monitor changes to the accredited network in response to ANS requirements. * Guide service providers on operational rules and procedures related to accessing and using the MedSênior Portal, requesting authorizations, submitting automated billing (via XML), and contacting via phone, email, or WhatsApp—as needed and determined by MedSênior—to promote correct use of tools. * Identify new service providers from databases and referrals by already-accredited physicians, based on demand received from associates, Call Center, and DAC—with Executive Board approval—to align the clinical team with demand. * Prepare comparative reports or spreadsheets on proposal status (received, sent, under negotiation), as well as potential discrepancies in contractual aspects such as pricing and other conditions, to consolidate information supporting leadership decisions and/or obtain negotiation guidance. **Requirements and Qualifications** * Bachelor’s degree completed in Administration, Health Management, Law, Accounting, or related fields (postgraduate degree in Supplementary Health Management or related areas preferred); * Prior experience in healthcare service provider accreditation, contractual negotiation, and/or management of assistance networks at supplementary health operators, medical cooperatives, or insurance companies; * Experience drafting and analyzing contracts and contractual addenda; * Knowledge of ANS regulations (Procedure List, accreditation standards); * Proficiency with TUSS tables and proprietary tables for Packages, Materials, Medications, Daily Rates, and Fees; * Knowledge of contract and addendum drafting, and adjustment negotiation; * Advanced Microsoft Office suite (Excel for reports and comparative spreadsheets); * Familiarity with accredited network management systems and provider portals is desirable; **Additional Information** * Benefits: Meal voucher, Health and Dental Plans, Gympass, Birthday leave, Psychological support, and Transportation allowance. It means living the purpose of healthy aging, building an inspiring culture aligned with our core values. We are a dynamic company, and our expansion offers constant opportunities for everyone. Together, we are Bem+. We are a market reference in senior care, offering beneficiaries more than just a health plan—a comprehensive, integrative assistance system supporting healthy aging. Founded to serve individuals aged 49+, our history is built upon preventive medicine and innovation. Our purpose is to deliver the best possible care experience in support of healthy aging—humanely and with the compassion each beneficiary deserves.