Job Summary: Analyst responsible for processing medical authorizations, verifying health plan coverage, and ensuring compliance with medical protocols in a mental health and chemical dependency clinic. Key Highlights: 1. Commitment to patients' health and well-being 2. Assists in rebuilding family and emotional bonds 3. Promotes improvement of mental, physical, and emotional health **Clínica da Gávea** has a long history of **commitment to health** for individuals with mental disorders and chemical dependencies, distinguished by excellence in promoting **well-being and improved quality of life.** Always prioritizing comfort and compassionate care for our patients, the clinic upholds human dignity, assists in rebuilding family and emotional bonds, and promotes improvement of mental, physical, and emotional health. **Responsibilities and Duties** * Analyze and process requests for medical authorizations, exams, procedures, and surgeries; * Verify health plan coverage according to contract terms and ANS regulations; * Attend to beneficiaries, clinics, and providers via telephone, e-mail, or internal system; * Register and track authorization processes in proprietary system; * Issue authorization forms and monitor validity deadlines; * Assist in resolving pending issues with providers; * Ensure requested procedures comply with medical protocols and internal standards. **Requirements and Qualifications** * Completed high school education (college enrollment in fields such as Administration, Nursing, Hospital Management, or related areas is a plus); * Basic knowledge of medical authorizations; * Strong verbal and written communication skills; * Familiarity with management systems (ERP, health plan systems); * Organizational skills, agility, and customer service orientation. **Additional Information** * Sulamerica Medical Assistance (available after 90 days of experience); * Transportation Allowance; * Gympass; * SESC Membership; * On-site meals; Founded in 2022, ViV emerged from the collaboration of leading institutions in **mental health**, aiming to build an integrated care network spanning **low to high complexity**. Today, we have over 1,600 employees and 900 beds across 6 states; our legacy of transformed lives has only just begun. We are now the **largest mental health group** in the country and proudly serve those in need at every stage of their care journey — always with the same goal: elevating life to its fullest potential. We are committed to elevating people's lives to their best, which is why our care network reflects the most advanced psychiatric treatments available, featuring comprehensive infrastructure including hospitals, clinics, and therapeutic residences — all interconnected to provide optimal patient support. We invite you to join a dynamic and talented team where you can develop your skills and grow professionally. At our company, we value teamwork, innovation, and commitment to excellence. If you seek a stimulating work environment offering continuous learning opportunities and challenging projects, join our team! Our mission is to elevate life by caring for Brazil's mental health.
João Silva
Indeed · HR
João Silva
Indeed · HR
