Unimed

Auditor

• Extract the dashboard report and analyze the status of authorizations to define the manager's work assignments;
• Analyze the regulation workflow and the distribution of authorizations, working to reduce backlogs and improve turnaround times in an organized manner;
• Monitor and ensure authorization deadlines are met;
• Verify the operational controls of the regulation unit's processes, including registration and development of action plans;
• Support and resolve operational demands that hinder the flow of audit processes;
• Identify rules within the audit process to increase detection of cost-saving and optimization opportunities;
• Perform operational tasks using Unimed Porto Alegre and Unimed System information tools and systems;
• Promote and deliver training across the area;
• Authorize, deny, or request documents required to finalize requests;
• Ensure compliance with court injunctions within defined deadlines;
• Initiate and respond to contact with internal and external stakeholders related to the process, aiming to enable alignment and problem resolution within the cooperative and the Unimed system;
• Interact with other audit professionals (physicians, nurses, administrative staff, pharmacists, social workers, speech therapists and psychologists) and related areas (Intercâmbio, GRPS, Call Center, member relations, etc.);
• Analyze and validate system denials (glosas) according to payment/non-payment rules;
• Conduct audits to identify alignment opportunities in the processes of providers, cooperative members, suppliers and other Unimeds, and promote their training.

Operations Audit Analyst

Support Engineer

• Work in the GRPS area (Management and Relationship with Healthcare Providers), leading the process of incorporating supplies with healthcare providers and OPME suppliers.
• Manage Unimed's referenced OPME table, issuing price quote requests, evaluating material guides for non-registered items, and performing technical analyses regarding the relevance and coverage of items.
• Participate in meetings with regulatory bodies and the Unimed system, and perform other related duties inherent to the role.

OPME Technical Analyst II (Orthoses, Prostheses and Special Materials)

Consultant

• Negotiate with the accredited provider network;
• Implement compensation and business models with the network aligned to Unimed's strategy, assessing feasibility through financial impact analysis and review of process rules;
• Responsible for validating contracts and contractual amendments for accredited providers;
• Accountable for achieving the targets for their provider portfolio;
• Serve as a point of reference for clarifying negotiations within their portfolio;
• Identify providers for procedures and exams covered by the ANS coverage list, ensuring care network availability for Unimed customers;
• Monitor the network's healthcare costs by analyzing closing projections with partners, identifying business improvement opportunities aimed at reducing the claims ratio;
• Analyze and propose strategic decisions regarding credentialing, de-credentialing, and related changes to ensure the provider network offering to Unimed customers is aligned with business strategy;
• Provide support to other cooperative areas on network-related matters, collaborating in decision-making.

Healthcare Relationship Consultant

• Atender e registrar chamados de baixa complexidade nos canais oficiais (ITSM), garantindo o preenchimento correto das informações obrigatórias (categoria, sistema, descrição, impacto e anexos);
• Seguir procedimentos e roteiros definidos para resolução de incidentes simples, como problemas de acesso, senha, e-mail, impressão, Teams e periféricos;
• Coletar informações básicas para análise de problemas, como prints, mensagens de erro, horário da ocorrência e descrição do impacto;
• Apoiar na atualização e criação de conteúdos simples na base de conhecimento (FAQ e guias), com orientação de analistas mais experientes;
• Escalar chamados para níveis superiores quando necessário, seguindo os critérios definidos;
• Prestar suporte presencial básico aos usuários, quando aplicável, auxiliando na identificação e reprodução de problemas;
• Acompanhar sua fila de chamados, organizando as demandas por prioridade e sinalizando possíveis riscos de atraso;
• Participar de reuniões do time, compartilhando dúvidas, aprendizados e dificuldades do dia a dia;
• Apoiar a execução de mudanças simples, seguindo instruções e checklists previamente definidos;
• Manter os chamados atualizados, registrando corretamente as ações realizadas e a solução aplicada de forma clara.

Técnico de Suporte – Afirmativa para Pessoas com Deficiência

Events

• Plan, organize, and execute corporate, institutional, and promotional events, as well as relationship-building activities, ensuring initiatives are delivered within established timelines, budgets, and objectives.
• Manage the end-to-end event production process, including scheduling, logistics, infrastructure, setup, operation, and teardown.
• Gather requirements, prepare briefings, and develop execution plans for different event formats.
• Source, select, contract, and oversee suppliers, partners, and service providers, ensuring quality, cost-effectiveness, and compliance of deliverables.
• Request, review, and negotiate commercial proposals, and monitor contracts, payments, and project-related documentation.
• Manage event finances, including budget preparation and control, expense tracking, and support for accounting entries and financial reporting.
• Act as the focal point among internal departments, suppliers, and external partners to ensure alignment and smooth delivery.
• Oversee on-site event execution, addressing operational issues and ensuring a high-quality participant experience.
• Coordinate logistics for materials, giveaways, signage, equipment, structures, and other resources required for events.
• Support the development of promotional and communication strategies related to the area’s activities and events.
• Monitor performance indicators, attendance, satisfaction, and other relevant metrics, evaluating results and identifying opportunities for improvement.
• Prepare executive reports, presentations, and performance analyses for completed events.
• Map trends, references, and market opportunities that can contribute to the innovation and evolution of the brand’s experiences.

Marketing Analyst – Events

• Executar as tarefas relacionadas à operação utilizando as ferramentas e sistemas de informação da Unimed Porto Alegre, do Sistema Unimed e demais sistemas necessários;
• Realizar e atender contato dos clientes internos e externos correlatos ao processo, com o objetivo de possibilitar o alinhamento e resolução de problemas dentro da cooperativa e no sistema Unimed;
• Analisar as reclamações dos clientes encaminhadas, referentes aos processos de auditoria;
• Realizar interação com os demais profissionais da auditoria (médicos, enfermeiros, administrativos, farmacêuticos, assistente social, fonoaudiólogos e psicólogos);
• Recepcionar, controlar e digitalizar a apresentação de documentos pelos prestadores, separando e arquivando posteriormente;
• Analisar e validar as glosas de sistema conforme regras de pagamento ou não pagamento;
• Realizar auditoria identificando oportunidades de alinhamento nos processos dos Hospitais e Unimeds buscando a capacitação das mesmas;
• Auditar as cobranças de despesas médicas, hospitalares, enviadas pelo Sistema Unimed e hospitais, com olhar assistencial, avaliando se estão de acordo com as regras e negociações vigentes;
• Realizar a digitação, abatimentos ou crédito de contas assistenciais;
• Preencher, gerar, conferir e imprimir planilhas de controle e relatórios, corrigindo os possíveis erros;
• Controlar e cumprir os prazos, indicadores de processos e atuar de maneira pró-ativa na solução;
• Ser um agente facilitador da comunicação com o Sistema Unimed, garantindo a agilidade do processo.

Assistente de Auditoria – Afirmativa para Pessoa com Deficiência

Executive

• Drive the generation of new business through active prospecting
• Maintain a structured sales pipeline
• Build and maintain strong, long-lasting commercial relationships
• Follow up on future sales opportunities
• Ensure a strong focus on customer experience

Sales Executive I

Security Analyst

• Lead the development, review and maintenance of Information Security policies, standards, procedures and guidelines, ensuring adherence to industry best practices and regulatory requirements.
• Participate in the evaluation of third-party vendors from an Information Security perspective, including risk assessments, security questionnaires, evidence collection and remediation/action plans.
• Lead and support the Information Security awareness program, including campaigns, internal communications, training and educational activities.
• Support and monitor internal and external audits related to Information Security, assisting with evidence collection, remediation of non-conformities and action plans.
• Support monitoring of cybersecurity risks, working together with the corporate risk team to keep inventories, metrics and records up to date.
• Contribute to the continuous improvement of governance processes, controls and Information Security metrics.
• Support regulatory and compliance-related requirements and requests related to Information Security.

Information Security Analyst I

• Work in the tactical healthcare audit team, conducting strategic analyses of data and processes;
• Monitor, analyze and interpret clinical, operational and financial indicators;
• Develop technical studies and critical analyses to support decision-making;
• Identify opportunities for improvement and propose actions to optimize clinical and administrative processes;
• Integrate information across the cooperative’s clinical, administrative, regulatory and operational areas;
• Work with health information systems, databases and analytical tools;
• Use technology resources and artificial intelligence to generate insights, enable automation and provide analytical support;
• Participate in projects focused on operational efficiency, quality of care and the sustainability of the operator;
• Perform technical analysis of clinical information, audits and data related to supplementary health;
• Work collaboratively with multidisciplinary teams and interface areas of the cooperative.

Technical Audit Analyst I – Affirmative Action for Persons with Disabilities

Financial Planning and Analysis

• Receive and organize documents for payment.
• Assist in processing payments for the cooperative's obligations.
• Process and send electronic files to the appropriate financial institutions.
• Verify, file and close batches containing settled documents.
• Provide service to clients and suppliers, internal and external, according to received financial requests.
• Perform daily reconciliation of clients' collection credits.
• Collect outstanding payments from delinquent clients through the available communication channels.
• Assist with the contract termination process for delinquent clients, as well as the reactivation process when necessary.
• Support negotiation of client debts.
• Provide in-person support to clients who require assistance with financial matters related to their contracts, accepting payments for debt settlement.
• Daily reconcile and close amounts received from clients using the system.
• Generate and send electronic and/or manual files for the purpose of removing client data from credit protection agencies.
• Perform administrative activities for Accounts Payable and Accounts Receivable.
• Handle internal and external requests using the available tools.