Saúde PASA

Analyst

• Assist in monitoring contracted providers, supporting analysis of relationship practices and recommending improvements.
• Support the provider credentialing and de-credentialing processes, including initial contact, receipt of documentation, updating records, and communicating decisions.
• Contribute to initiatives and analyses aimed at network revitalization, assisting in mapping local needs, identifying potential partners, and maintaining the balance between service supply and demand.
• Support control of payment schedules and monitoring of claim denials (glosas).
• Maintain relationships with providers, handling strategic requests for immediate service absorption.
• Support the interface with the medical claims/accounts department, assisting in identifying and resolving inconsistencies.
• Contribute to market surveys and research, using tools such as inflation indices and internal data analysis (e.g., Power BI), always under supervision.
• Keep an active contact schedule with providers for routine requests and basic guidance.
• Assist in analyzing care provided by the network and in monitoring procedure authorizations.
• Support requests for table corrections in the system as needed.
• Maintain an active agenda with providers.
• Systematically analyze service delivery to ensure proper network revitalization.
• Analyze reasons for denials and follow up on procedure authorizations.

Provider Network Analyst

• Serve as a technical reference on topics related to customer service, CRM and customer experience (CX).
• Support the Relationship Management team in analyzing and monitoring performance, quality and beneficiary experience indicators.
• Prepare, analyze and present management reports, dashboards and analytical studies using Power BI and advanced Excel to support strategic decisions.
• Use CRM tools to analyze journeys, recurring issues, bottlenecks and opportunities for service improvement.
• Contribute suggestions to improve processes and workflows, focusing on operational efficiency and customer satisfaction.
• Support the assistants’ team by providing:
• Technical guidance
• Clarification of operational doubts
• Sharing best practices in customer service
• Contribute to technical training initiatives by supporting trainings, refreshers and alignments conducted by Management.
• Ensure clear, empathetic and professional communication in interactions with beneficiaries, internal teams and partner areas.
• Work collaboratively with other departments of the operator, supporting cross-functional requests related to customer service.
• Ensure compliance with rules, institutional guidelines and PASA policies within the scope of your technical role.

Provider Network Analyst

Senior Customer Service Analyst