Risk Control Consultant, Mid/Senior
Tecla T
VBA
Medical Consultant
Insight Value
full-time
Posted on:
Location Type: Hybrid
Location: São Paulo • 🇧🇷 Brazil
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Ensure effective relationships with health plan operators through in-person communication and/or interactions, telephone and/or digital tools to guarantee effective management of outcomes related to health policies in the medium and large client portfolio.
- Prepare reports and/or presentations (Health Committees, studies and post-committee reports) by organizing data, information and quantitative and qualitative analyses of the health, financial and population trends of the contracts to support decision-making by Senior Management and/or the Board.
- Manage medical cases of medium and high clinical and/or financial complexity through a set of solution-oriented actions to positively impact the health status of policyholders.
- Develop new health products and/or services by preparing and implementing prevention, promotion, protection and rehabilitation actions to deliver value to the client.
- Ensure appropriate support to insured individuals and/or their dependents by providing clear, objective guidance in accessible language to indicate the appropriate technical direction for their needs.
- Provide technical consulting by conducting needs assessments and understanding the business environment to offer efficient, productive solutions that optimize the company's operational efficiency and performance.
- Identify improvement opportunities through mapping carried out during processes, procedures and area workflows, suggesting actions that enable continuous improvement to consistently enhance products and/or services.
- Perform other related professional activities inherent to the role as required by the area, including training, professional development and guidance from the immediate supervisor, to ensure continuous professional growth.
- Actively contribute to the development of performance indicators (KPIs), objectives and key results (OKRs) and new company projects.
Requirements
- Medical degree (MD)
- Active CRM (Brazilian medical registration/license) required
- Postgraduate degree/specialization or MBA in Project Management
- Professional experience in business and medical consulting focused on health management
- Demonstrated customer focus, professionalism, innovation, collaboration, decision-making, strategic vision and planning skills
Benefits
- Health and dental insurance
- Life insurance
- Meal and/or food allowance
- Transportation allowance
- Profit sharing (PLR)
- Wellhub
- Wellz
- Day off
- 'Apoio Pass' support for you and your dependents
- Discounts on personal insurance policies such as auto, life, home, travel and others
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisquantitative analysisqualitative analysishealth product developmentmedical case managementneeds assessmentperformance indicatorsKPI developmentOKR developmenthealth policy management
Soft skills
customer focusprofessionalisminnovationcollaborationdecision-makingstrategic visionplanningcommunicationproblem-solvingleadership
Certifications
Medical degree (MD)CRM (Brazilian medical registration/license)Postgraduate degree/specializationMBA in Project Management
