**We are the world’s largest healthcare cooperative system, dedicated to caring for people and inherently joyful in our essence.** **We pursue excellence, cooperate to grow, manage our emotions, and delight our customers, strengthening the Unimed system every day.** **We value diversity and inclusion, recognizing the worth of each individual, respecting differences, and generating equal opportunities.** **All our job openings are open to persons with disabilities (PWD).** **Do our values resonate with you? Join us on this beautiful journey of the *Unimed Way of Caring!* **COMPANY: UNIMED FEDERAÇÃO SC** **Your responsibilities will include:** * Conducting a detailed analysis of billing processes related to materials, medications, daily rates, procedure packages, and fees; issuing technical opinions that substantiate the use of these resources, ensuring their appropriate and justified application; * Advising and guiding state-level Unimeds on matters concerning the analysis of materials and equipment, issuing technical opinions assessing the feasibility of their application in healthcare services, with a focus on treatment efficiency and effectiveness; * Analyzing and validating medical procedure packages, evaluating both usage and associated costs; this analysis is essential to ensure that offered services are justified and aligned with Unimed guidelines; * Researching relevant scientific information and producing technical opinions to support decision-making in health auditing; this activity involves analyzing studies, clinical guidelines, and evidence that may influence care practices and management; * Contributing to the configuration of Unimed’s management systems, ensuring alignment with recommended practices and current healthcare regulations; * Keeping up-to-date with applicable legislation and guiding its implementation in medical-hospital and nursing procedures; this includes interpreting norms and regulations to ensure legal compliance; * Analyzing management indicators related to healthcare service performance; issuing opinions on observed performance, identifying improvement opportunities, and proposing corrective actions when necessary; * Preparing detailed reports documenting audit activities, analyses performed, technical opinions issued, and proposed recommendations; these reports are essential for transparency and accountability in audit operations; * Participating in local, state, and national meetings pertinent to the role, representing the Santa Catarina Federation; such participation is crucial for aligning strategies and sharing experiences; * Contributing to projects and programs aimed at reducing operational costs; this activity involves critically analyzing processes and proposing improvements with positive financial impact on the organization; * Participating in the analysis process for Hospital Classification and other healthcare service providers, ensuring applied criteria are fair and transparent; * Analyzing, authorizing, and auditing home-care accounts, ensuring delivered services meet required quality and efficiency standards; * Performing nursing procedures when necessary, guaranteeing continuity of care and appropriate patient assistance; * Evaluating, monitoring, and suggesting actions to improve service providers’ care quality, promoting excellence in care delivery and user satisfaction. **Requirements:** * Completed Bachelor’s Degree in Nursing; * Writing skills; * Public speaking skills; * Basic computer literacy; * Relevant legislation (ANVISA, ANS, COFEN, CFM); * Knowledge of materials, equipment, and medications; * Hospital nursing processes; * Active registration with COREN/SC. **Preferred qualifications (not mandatory):** * Postgraduate degree—preferably in Auditing, Healthcare Management, or related fields; * Familiarity with the Unimed system; * Knowledge of classification tables (CBHPM, AMB, CID, ABRAMGE, BRASINDICE, National Interchange Manual); * Knowledge of auditing processes; * Technical English (reading and interpretation). **Discover our benefits now:** * Transportation allowance—no payroll deduction * Meal/voucher allowance—no payroll deduction * Weekly free fruit distribution * Fully equipped kitchen * Free coffee * Workplace gymnastics—twice per week * Daycare assistance for children up to 6 years old enrolled in early childhood education * One paid birthday leave day per year * Unimed Health Plan—no monthly premium for employee and dependents; co-payment applies according to usage * Uniodonto Dental Plan—no monthly premium for employee and dependents; co-payment applies according to usage * SOS—Ambulance service for emergencies/urgent cases—no monthly premium for employee and dependents * Pharmacy network agreements * Psychological clinic network agreements * Life insurance * Perfect Attendance Bonus—6 additional days added to annual vacation accrual period * Longevity Bonus—5 paid rest days for every 5 years of service * Profit-Sharing Program (PPR) * Tuition assistance program available after 1 year of employment Employment type: Permanent CLT contract Salary: R$5.632,66 per month Benefits: * Medical assistance * Dental assistance * Daycare assistance * Education assistance * Profit sharing * Life insurance * Meal allowance * Food voucher * Transportation allowance