Description
Job Summary:
Professional to handle provider re-contracting, contract drafting, relationship management with the accredited network, and critical analysis of market fee schedules.
Key Highlights:
1. Experience in relationship management with the Accredited Network
2. Knowledge of market fee schedules (CBHPM, TUSS, AMB, SIMPRO, Brasíndice)
3. Knowledge of ANS legislation and regulatory guidelines
Employment Type: **Fixed-term CLT Contract.**
**General Job Responsibilities:**
* Provider re-contracting;
* Drafting contracts and addenda;
* Verification/validation of provider documentation;
* Parameterization of negotiations in the system;
* Monitoring of contract and term processes;
* Database updates (clinical staff, address, phone number, bank details, INSS, and others);
* Cross-checking between the accredited network and health plan products;
* Provider relationship management;
* Critical analysis of the formatting of daily rate and fee schedules.
**Requirements:**
* Currently pursuing a Bachelor’s degree — from the 3rd semester onward (field of study open);
* Experience in relationship management with the Accredited Network (health plan operators, clinics, and hospitals);
* Familiarity with XML files;
* Practical knowledge of market fee schedules, including **CBHPM, TUSS, AMB, SIMPRO, and Brasíndice**;
* **Intermediate-level** proficiency in Microsoft Office, especially **Excel**;
* Experience in accreditation functions and provider relationship management;
* Knowledge of ANS legislation and regulatory guidelines, including **RN 503, RN 566, RN 395, and the SAC Law**.
**Desirable Qualifications:**
* Familiarity with the **Facplan system** and **CRM** will be an advantage.
**Specific Skills:**
* Analytical and critical thinking;
* Communication;
* Emotional intelligence;
* Operationalization of routine tasks;
* Interpersonal relationship skills;
* Critical thinking;
* Systems thinking;
* Strong interpersonal communication.
**Expected Attitudes:**
* Commitment / Responsibility;
* Organization;
* Teamwork;
* Interpersonal relationship skills.
**Working Hours:** Monday to Friday, from 8:30 AM to 5:30 PM. (On-site)
**Work Location:** Asa Sul \- Brasília/DF