FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Provider Network Analyst
Saúde PASAAnalista de Rede supporting healthcare quality through provider relationship management. Engaging with partners, analyzing data, and enhancing service efficiency in a dynamic environment.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- Bachelor's degree completed.
- Proficiency with Microsoft Office.
- Availability for travel and in-person visits to providers.
- Previous experience in provider relations (physicians, clinics, laboratories, dental providers, etc.).
- Basic knowledge of data analysis and tools such as Power BI.
Benefits
Comp & perks- Meal and food vouchers via Swile (a single flexible card combining both benefits).
- Medical, dental, and group life insurance.
- Pharmacy assistance and vaccinations.
- Online psychology and psychiatry services.
- Telemedicine.
- Private pension plan.
- Educational assistance.
- Childcare assistance.
- Funeral assistance.
- Christmas bonus.
- Membership in PASA.
- Maternity benefit with extended leave up to 180 days.
- Paternity benefit with extended leave up to 20 days.
- Sesc.
- TotalPass.
- PGD (Performance Bonus Program).
- Sicoob Coopvale.
- Birthday day off.
- Transportation allowance.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisprovider credentialingprocedure authorizationsclaim denial analysis
Soft Skills
relationship managementcommunicationanalytical thinkingproblem-solving
Certifications
Bachelor's degree