OPME Assistant

Description

Job Summary: The professional will be responsible for receiving, analyzing, and monitoring orders for Orthoses, Prostheses, and Special Materials, providing support and overseeing the entire process. Key Highlights: 1. Working for a company that values well-being and healthy aging 2. Being part of a growing company with an inspiring culture 3. The opportunity to work for a leading provider of elderly care 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 continuous expansion creates constant opportunities for everyone. Together, we are Bem\+. We operate in 7 states and have expansion plans—will you join us in this purpose? Learn more about open positions and apply. Our job openings are also valid for persons with disabilities (PCD). \#MedSênior hashtag\#vagas hashtag\#hiring hashtag\#oportunidades hashtag\#tecnologia hashtag\#saúde hashtag\#contratando **Important: We do not charge any fees during our selection processes.** **Responsibilities and Duties** * Receive orders for Orthoses, Prostheses, and Special Materials via the TODPWN system from the DAC department or accredited hospitals, as requested by physicians; forward them to coordination for review; * Monitor authorization deadlines on the TOPDOWN portal according to ANS timelines; * Track requests from regional auditors; * Release OPME authorization forms in OPMENEXO; * Provide support to hospitals and clinics by clarifying doubts and supplying information regarding the OPME authorization and procurement process; * Monitor OPME orders with suppliers to ensure procedures are performed as scheduled and with authorized materials available; * Maintain ongoing communication with suppliers to monitor delivery timelines and resolve potential issues. * Prepare daily cost estimates and tabulate values, then submit them to the Analyst and Coordination to proceed with negotiations; * Release post-surgical OPME authorization forms from the TOPDOWN system; * Monitor and authorize supplier billing in OPMENEXO. **Requirements and Qualifications** * Completed high school education; undergraduate studies preferred but not mandatory; * Prior experience in health insurance operators, hospitals, or OPME companies is desirable; * Availability to work on a 12x36 shift schedule (07:00–19:00). **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 continuous expansion creates constant opportunities for everyone. Together, we are Bem\+. We are a market leader in elderly care, offering beneficiaries more than just a health plan—we provide comprehensive, integrated assistance throughout the healthy aging journey. Founded to serve individuals aged 49 and older, our history is rooted in preventive medicine and innovation. Our purpose is to deliver the best possible care experience in support of healthy aging—humanely and with the compassion every beneficiary deserves.