Job Summary: Work on contract analysis, client communication for guidance, authorization of exams/procedures, and monitoring of regulatory impact cases. Key Highlights: 1. Analysis and monitoring of contentious and regulatory cases 2. Interface with clients and service providers to facilitate requests 3. Ensure goal achievement with quality and efficiency Transforming lives through health is what drives us! We operate nationwide through two business units—Amil and Rede Total Care—with over 1,500 accredited hospitals and our own network of hospitals, clinics, treatment centers, home care, and medical transportation. With a clear mission and solid values, we strengthen our culture through a commitment to always serve better. We care for our employees so that this care reflects in the population we serve. **Main Responsibilities:** * Contract analysis, client communication for guidance and information updates, analysis for authorization or denial of exams/procedures requested by plan beneficiaries; * Analysis and monitoring of contentious cases and regulatory impact cases; * Adapt to new routines being implemented to optimize time and comply with ANS regulations; * Contact internal and external clients as needed for denials, pending item requests, or guidance; * Ensure goal achievement with appropriate performance, quality, and operational efficiency; * Interface with clients and service providers to enable authorization requests and mitigate risks; * Interface with other analysis teams within the regulation center and the health plan operator. **Required Qualifications:** * Higher education (in progress or completed); * Intermediate knowledge in the regulatory area; * Experience in Supplementary Health or Health Plan Operators preferred; * Experience in medical auditing preferred; * Intermediate Office suite proficiency preferred; * Availability to work fully on-site. Keywords: Amil, Junior Administrative Analyst, Auditing, Supplementary Health, Regulation, Analyst, Junior, PCD, Persons with Disabilities, Rio de Janeiro, RJ. We foster an innovative, diverse, equitable, and inclusive culture. All qualified candidates are welcome, regardless of ethnicity, race, disability, sexual orientation, gender identity or expression, age, nationality, religion, or any other social marker. We emphasize that we do not request payments, fees, or SMS codes during our selection processes. All opportunities are available exclusively through our official channels and career website. Any deviation must be reported.
João Silva
Indeed · HR
João Silva
Indeed · HR
