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ACCREDITATION ANALYST
Negotiable Salary
Indeed
Full-time
Onsite
No experience limit
No degree limit
R. Maria Bregua, 37 - São Lourenço, Niterói - RJ, 24120-007, Brazil
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Description

Leve Saúde is a Rio de Janeiro-based health plan operator born with the purpose of transforming how healthcare is delivered in Brazil. We believe that caring goes far beyond offering health plans—it's about building relationships, truly listening, and being present throughout each person’s journey. From the start, we’ve focused on a closer, more welcoming, and effective model. With our own teams and an integrated network, we deliver a lighter, more efficient, and patient-centered healthcare experience. **What drives us:** * Making healthcare more human and accessible. * Reducing bureaucracy and facilitating access to quality services. * Leveraging technology as an ally to improve healthcare experiences and outcomes. **How we do it:** * Through our own clinics, ready to provide welcoming and efficient care. * With a multidisciplinary team closely following beneficiaries’ journeys. * With an internal team committed to innovation, quality, and purpose. We are seeking an **Accreditation Analyst** responsible for analyzing, negotiating, and maintaining our network of accredited healthcare service providers, ensuring technical and economic balance in contracts, compliance with regulatory standards, and high-quality care for beneficiaries. **Responsibilities and duties** * Conduct negotiations with healthcare providers (clinics, laboratories, hospitals, doctors, and cooperatives), aligning technical and financial aspects with the operator's guidelines. * Interpret and apply negotiation and reference fee schedules (AMB, CBHPM, SIMPRO, BRASÍNDICE, among others). * Prepare and review commercial proposals and contractual amendments, ensuring consistency and financial sustainability. * Analyze medical bills, identifying opportunities for cost optimization and charge standardization. * Produce and present management reports and performance indicators for the accredited network using Office Suite tools (Excel, PowerPoint, Word) and internal systems. * Update and monitor workflow and contract management systems, ensuring deadlines and traceability of actions. * Maintain positive relationships with providers, acting ethically and collaboratively to strengthen strategic partnerships. * Support processes related to provider accreditation and deaccreditation. * Collaborate with Audit, Medical Billing, and Utilization Management teams to promote integration and operational efficiency. **Requirements and qualifications** * Completed bachelor’s degree in Administration, Nursing, Economics, Health Management, or related fields. * Proven experience in provider accreditation or health plan network management. * Proficiency in fee schedules: AMB, CBHPM, SIMPRO, BRASÍNDICE, and related references. * Knowledge of medical bill analysis and TISS form interpretation. * Intermediate-level Office Suite skills, especially Excel and PowerPoint. * Experience with workflow systems, CRM, or contract management platforms. * Strong negotiation and persuasive communication skills. * Interpersonal skills and collaborative attitude. * Organized, detail-oriented, and able to prioritize tasks. * Clear and assertive communication. * Analytical mindset and results-focused. * Ability to manage multiple deadlines and concurrent demands. **Additional benefits** * Meal Allowance: BRL 42.00/day (with a symbolic monthly deduction of BRL 1.00) * Transportation Allowance * Birthday Day Off * Health Plan (no payroll deduction) * Dental Plan (no payroll deduction) * Total Pass (well-being and physical activity) * Discounts at educational institutions * Leve Mente Program * **Desirable differentials** * Familiarity with ANS regulations applicable to accredited networks. * Prior experience in large health operators or hospital groups. We are **Leve Saúde**, the healthtech operator that arrived in Rio de Janeiro in September 2020, focused on people over 45 seeking high-quality healthcare at affordable prices. Our Operating Model is built on **three pillars** reflecting our beliefs about healthcare management: * We believe **Digital Health** is an irreversible path that already has—and will increasingly have—an extraordinary impact on healthcare management. \- We believe the combination of **Primary Healthcare** and Digital Health is the perfect meeting point between past and future. Both are fundamental ingredients for achieving healthier longevity. * We believe having an **Owned Network** is the critical component to complement our model, enabling personalized, humane, compassionate, and effective care. On our website, you'll find available opportunities. We’re rooting for you!

Source:  indeed View original post
João Silva
Indeed · HR

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