Job Summary: We are looking for a Credentialing Analyst to analyze, negotiate, and maintain our network of accredited healthcare providers, ensuring technical and economic balance. Key Highlights: 1. Ethical and collaborative approach to strengthen strategic partnerships 2. Focus on innovation, quality, and purpose to deliver a light and efficient experience 3. Work with a multidisciplinary team, centered on human and accessible care Leve Saúde is a Rio de Janeiro–based health plan operator founded with the purpose of transforming how healthcare is delivered in Brazil. We believe that caring goes far beyond offering health plans—it means building relationships, truly listening, and being present throughout each person’s journey. From the start, we have bet on a closer, more welcoming, and solution-oriented model. With our own teams and an integrated network, we promote 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 accompanying beneficiaries’ journeys. * With an internal team committed to innovation, quality, and purpose. We are seeking a **Credentialing Analyst**, responsible for analyzing, negotiating, and maintaining our network of accredited healthcare service providers—ensuring contractual technical and economic balance, regulatory compliance, and quality care for beneficiaries. **Responsibilities and Duties** * Negotiate with healthcare service providers (clinics, laboratories, hospitals, physicians, and cooperatives), aligning technical and financial terms with the operator’s guidelines. * Interpret and apply negotiation and reference fee schedules (AMB, CBHPM, SIMPRO, BRASÍNDICE, among others). * Draft and review commercial proposals and contract amendments, ensuring coherence and financial sustainability. * Analyze medical bills, identifying opportunities for cost optimization and billing standardization. * Produce and present managerial reports and performance indicators for the accredited network, using Office Suite tools (Excel, PowerPoint, Word) and internal systems. * Maintain and monitor workflow and contract management systems, ensuring deadlines are met and all interactions are traceable. * Maintain strong relationships with providers, acting ethically and collaboratively to reinforce strategic partnerships. * Support credentialing and de-credentialing processes for the network. * Collaborate with Audit, Medical Claims, and Utilization Review departments to promote integration and operational efficiency. **Requirements and Qualifications** * Bachelor’s degree completed in Administration, Nursing, Economics, Health Management, or related fields. * Proven experience in credentialing or network management for health insurance operators. * Proficiency in fee schedules: AMB, CBHPM, SIMPRO, BRASÍNDICE, and related standards. * Knowledge of medical claims analysis and TISS form interpretation. * Intermediate Office Suite skills, especially Excel and PowerPoint. * Experience with workflow systems, CRM, or contract management platforms. * Strong negotiation and argumentation skills. * Interpersonal skills and a collaborative attitude. * Organizational ability, attention to detail, and sense of priority. * Clear and assertive communication. * Analytical mindset and results orientation. * Ability to work under deadlines and handle multiple simultaneous demands. **Additional Information** * Meal Allowance: BRL 42.00/day (with a symbolic deduction of BRL 1.00/month) * Transportation Allowance * Birthday Day Off * Health Plan (no payroll deduction) * Dental Plan (no payroll deduction) * Total Pass (wellness and physical activity) * Discounts at educational institutions * Leve Mente Program * **Desirable Differentiators** * Knowledge of ANS regulations applicable to accredited networks. * Prior experience with large health operators or hospital groups. We are **Leve Saúde**, the healthtech operator that launched in Rio de Janeiro in September 2020, focused on people over 45 years old seeking quality healthcare at accessible prices. Our Operating Model rests 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 represents the perfect convergence of past and future. Both are fundamental ingredients for achieving the right to healthier longevity. * We believe having an **Owned Network** is the critical ingredient to complement our model, as it enables us to guarantee personalized, humanized, caring, and solution-oriented care. You’ll find available opportunities on our page. We’re rooting for you!