Unimed Nacional

Analyst

• Atuar na área de Inteligência da Informação, utilizando técnicas de produção e análise de dados conforme processos e diretrizes da LGPD na Unimed CNU, apoiando decisões estratégicas, prevenção de fraudes e identificação de riscos e oportunidades.
• Integrar informações das Unimeds e clientes, mapeando necessidades corporativas comuns e orientando a criação de modelos multidimensionais, sendo referência técnica na área.
• Mapear, orientar e analisar riscos, vulnerabilidades e deficiências dos processos da área de inteligência.
• Elaborar e manter procedimentos e instruções de trabalho, otimizando processos de levantamento, análise, busca, fusão e difusão da informação.
• Executar levantamentos de dados, Big Data, processos OLAP, Analytics e geração de informações para suporte à tomada de decisão.
• Identificar informações preditivas, inclusive regulatórias, realizar apurações internas e externas, elaborar relatórios administrativos e reportar à Coordenação e Gerência de Inteligência.
• Identificar oportunidades para novas visões de informações históricas, preditivas e indicadores corporativos relevantes.
• Pesquisar dados de mercado e regulatórios (ex.: ANS), criando e atualizando bases históricas e simulando indicadores para direcionamento estratégico.
• Monitorar e avaliar riscos de segurança da informação relacionados às informações divulgadas pela área.

Analista de Inteligência de Informações SR – Dados

Customer Support

• Lead strategic CX projects, ensuring alignment between customer needs and business objectives.
• Act as a champion of customer-centric culture, promoting initiatives that strengthen the experience across the entire value chain.
• Drive digital transformation projects focused on the evolution of relationship channels, such as mobile apps, portals, WhatsApp, IVRs and other digital channels.
• Work collaboratively with business, technology, operations, product and customer service teams, ensuring an end-to-end view of customer journeys.
• Map improvement opportunities, identify bottlenecks and propose innovative solutions based on data and customer insights.
• Manage timelines, risks, dependencies and KPIs for the projects under your responsibility.
• Lead governance processes and executive reviews, supporting leadership decision-making.
• Lead and develop multidisciplinary teams, fostering a collaborative and results-oriented environment.
• Structure and lead the communication strategy for customers, beneficiaries and patients, ensuring an integrated and experience-driven approach.

Customer Experience Projects Coordinator – Strategic Communications

Business Analyst

• Business Impact Analysis (BIA): Lead interviews and workshops to identify critical processes and define key metrics such as RTO and RPO.
• Operational Risk Management: Map threats that could disrupt our operations and work consultatively with business areas to implement mitigation measures.
• Resilience Strategy (BCP): Develop and maintain Business Continuity Plans (BCPs), Crisis Management Plans and Disaster Recovery Plans (DRP), covering administrative and clinical/care areas.
• Tests and Exercises: Plan and execute practical drills and simulations to validate plan effectiveness and raise team maturity levels in crisis situations.
• Excellence and Improvement: Support compliance with ISO 22301 by monitoring performance KPIs and addressing root causes of incidents and crises.
• Continuity Culture: Promote a culture of resilience across the company through training, internal communications and spokesperson enablement.

Business Continuity Analyst – Mid-level

Attorney

• Provide legal assistance and support in low-complexity administrative defenses under the supervision of the immediate superior.
• Assist external counsel by providing information that supports the Company’s defense strategies.
• Enter and maintain the case registry in the internal system in an organized manner.
• Provide monthly reporting and control of provision records.
• Request and carry out external services (filings, various diligences).
• Generate periodic reports.
• Act as the company’s representative (preposto) at hearings for administrative proceedings, when required.
• Comply with internal regulations, the requirements of quality management systems, ANS regulations, and the health, hygiene and occupational safety standards and procedures relevant to the department, including the use of PPE/EPC (Personal Protective Equipment/Collective Protection Equipment) when the activity requires it.
• Perform other duties inherent to the role or assigned by the immediate superior, provided the employee is qualified and the tasks match their knowledge and experience.

Junior Legal Analyst – Temporary

General

• Conduct technical analyses of tax planning and fiscal governance, evaluating risks, opportunities, financial impacts and applicable criteria for CNU’s operations.
• Act as a technical reference on the Tax Reform, monitoring legislation, regulations, layouts and impacts of IBS/CBS, specific regimes, tax documents and ancillary obligations.
• Define and review tax positions relevant to operations in the supplementary health and cooperative sectors, including ISS, PIS, COFINS, IRPJ, CSLL, withholdings, cooperative and non-cooperative acts, disallowances, reimbursements, pass-throughs and interchange.
• Technically validate tax parameterizations, integrations, master data, tests and certifications in SAP and related systems, ensuring legal compliance and consistency with Accounting and Billing.
• Prepare opinions, memoranda, executive presentations and technical notes to support leadership, Legal, Audit, tax inspections, litigation and strategic projects.
• Establish monitoring criteria, KPIs and audit trails to strengthen governance of tax information and traceability of tax bases.
• Work on high-complexity matters such as tax assessments, judicial deposits, regularizations, special regimes, analyses of debits/credits and responses to audits, acting as a technical reference.
• Train the tax team and partnering areas on new criteria, regulatory changes and systemic impacts, without necessarily having formal team management responsibilities.
• Lead CNU’s adaptation to the Tax Reform in a regulatory scenario still consolidating, with simultaneous impacts on operations, systems, tax documents, contracts, billing and governance.
• Clearly separate the specialist’s strategic-technical scope from recurring routines of tax calculation, reconciliation and ancillary filings performed by senior analysts.
• Ensure tax coherence in an environment with multiple municipalities, high transaction volume, the specificities of supplementary health and intense interaction with non-tax areas.
• Translate complex rules into practical criteria, system configurations and actionable plans, preserving compliance and business perspective.

Tax and Fiscal Specialist

Business Intelligence Developer

• Lead the advancement of the Market Intelligence area's analytical capabilities by building advanced data solutions, automation, analytics, and artificial intelligence. Acts as a national technical reference, ensuring scalability, innovation, and value generation for the business through data.

Senior Data and BI Analyst

Supervisor

• Supervise the activities of digital channels and customer relations, guiding the team in interactions, monitoring compliance with standards and scripts, and ensuring deadlines are met, guaranteeing that service to internal and external customers is delivered with quality, agility and empathy.
• Ensure service is provided in accordance with current legislation and Unimed Nacional culture, maintaining quality and speed of service with the aim of welcoming and satisfying customers.
• Coordinate with other Unimeds and providers in the Direct Network, when necessary, regarding operational workflows that contribute to customer satisfaction.
• Serve as a point of contact for companies, Unimeds and providers in the Direct or Indirect network and internal areas, in order to mediate or resolve beneficiary service issues in accordance with contractual plans, pricing, companies and internal procedures.
• Keep your supervisor informed about incidents and the progress of resolutions, and provide input with suggestions for process improvements that better meet the needs of internal and external customers.
• Maintain control over handled customer interactions, ensuring they are recorded in appropriate tools, thus guaranteeing customer satisfaction.
• Stay up to date with information about the institution and the market in order to bring improvements to your activities and to Unimed Nacional's business.
• Monitor performance indicators (KPIs) and analyze area reports to ensure financial impacts are addressed, identify improvement opportunities, and prevent failures and negative incidents. Supervise ongoing work by analyzing indicators and objective vs. achieved results, implementing corrections, strategy reviews, retraining and, if necessary, realigning work processes.
• Contribute to people management in decisions on hiring, dismissal, vacations, time tracking, promotions, transfers, etc., identifying training and development needs, promoting performance management and feedback, and interacting with Human Resources to apply policies, aiming to foster a motivating and creative environment in line with Unimed Nacional's culture.
• Comply with and enforce internal regulations, quality management system requirements, and compliance with ANS regulations, as well as health, hygiene and occupational safety norms and procedures relevant to the sector.
• Perform other duties inherent to the role or as assigned by your immediate supervisor, provided you are qualified and the tasks align with your knowledge and experience.

Supervisor, Customer Relations and Digital Channels

• Structure, integrate, and process large volumes of data from internal databases and public sources.
• Work with ANS datasets (SIB, SIP, DIOPS, TISS, Monitoramento da Garantia de Atendimento, among others).
• Integrate information from other public databases such as CNES, IBGE, DATASUS, Receita Federal and other relevant sources.
• Develop automated processes for data collection, cleaning and updating.
• Create analytical models to support market studies, competitor analysis, provider network assessment and beneficiary behavior analysis.
• Develop executive dashboards in Power BI.
• Write SQL queries for data extraction and manipulation.
• Develop Python scripts for automation, ETL, web scraping and statistical analyses.
• Ensure the quality, consistency and governance of the datasets used by the team.
• Support Market Intelligence analysts in the preparation of studies and analyses.
• Document processes, datasets and methodologies used.
• Continuously search for new public and private data sources that add intelligence to the business.

Senior Data Analyst, BI

Bookkeeper

• Analyze hospital medical accounts, disputes, denial appeals submitted by providers, reimbursements submitted by beneficiaries and the Unimed System, and arrange corresponding payments, releasing the payment process to the finance department, working under guidance;
• Verify that accounts meet regulatory requirements and comply with company rules by performing system checklists and review analyses, checking and validating amounts against fee schedules/references, and taking corrective actions when necessary;
• Monitor and propose changes, solutions and/or adjustments to workflows, rules in the MIN (Manual de Intercâmbio), ANS – National Supplementary Health Agency, and client portfolio invoices to improve daily processes;
• Maintain records of deliberations/assessments of processes, correctly enter justifications for decisions, check collection deadlines and ensure that signatures are present on deliberations generated by other departments;
• Enter and analyze provider service data and information in the system, notify any contractual modifications or system changes that enable the billing analysis to be closed accurately, and ensure payments are processed;
• Receive, spreadsheet and file medical service invoices, generate analytical reports, and analyze denial appeals and medical accounts;
• Review requests for billing and/or rebilling outside established deadlines according to company guidelines and responsibilities regarding acceptance and payment criteria for Unimeds, providers and companies;
• Review and release the configured edit checks/pre-analysis workflows (malhas) in the management system specific to your profile, and provide support to credentialed providers regarding account/appeal processes and other related issues as needed.

Medical Account Analyst, Junior

• Develop and implement the compensation strategy by analyzing market trends and aligning with strategic objectives to ensure competitiveness and internal equity.
• Lead projects to review and implement compensation policies, coordinating teams and resources to ensure effective execution and achievement of objectives.
• Implement and ensure compliance with Collective Bargaining Agreements (CBAs), interpreting CBA clauses and adjusting internal policies to ensure legal compliance and avoid labor liabilities.
• Provide strategic advisory to senior leadership, presenting analyses and recommendations to support critical business decisions.
• Conduct benchmarking of compensation practices to keep the company up to date with best practices.
• Perform cost analyses of compensation policies using financial models, ensuring the financial viability of the policies.
• Implement compensation governance practices by establishing clear policies and procedures to ensure transparency and compliance.
• Effectively communicate compensation policies across all levels of the organization by developing communication materials and conducting information sessions.

Senior Compensation Analyst

Auditor

• Provide strategic technical support to procurement and credentialing departments
• Assist in contracting and negotiating with healthcare partners
• Monitor volumes and need for diagnostic tests
• Audit hospitalization procedures and ICU length of stay
• Produce critical reports for hospital cost control
• Conduct technical site visits to identify gaps and propose corrective actions
• Analyze health profiles of new clients and pre-existing conditions
• Conduct technical assessments during new sales processes
• Lead and guide the nursing team
• Develop utilization indicators

Health Auditor, Medical Auditor

• Atuar no desenvolvimento de views no Databricks e hypers no Tableau.
• Desenvolver painéis atuando de forma organizada e cumprindo as etapas de levantamento de requisitos, documentação, protótipação, testes e homologação (tableau).
• Implementação de ajustes e melhorias em painéis existentes (tableau).
• Realizar a elaboração de novas visões de informações históricas e indicadores, e identificar indicadores e informações atuais e de interesse corporativo.
• Desenvolver outras atividades inerentes ao cargo ou a critério de seu superior imediato, desde que habilitado e estejam de acordo com o seu conhecimento e experiência.

Analista de Inteligência de Informações PL – Dados

• Identify daily the receipt of billing responses or denial reports issued by the payer/operator.
• Establish priorities for execution and set response deadlines for appeals, ensuring process integrity and mitigating negative financial impacts.
• Liaise with support and customer service teams to validate denial annotations.
• Prepare justification reports with accurate information to submit to the payer/operator.
• Support internal teams by reporting weaknesses that caused denials so that clinical or operational processes can be corrected.
• Prepare monthly reports and indicators demonstrating the evolution of denials, and present the action plans applied.
• Work collaboratively with involved areas, focusing on alignment and continuous improvement.
• Resolve possible billing discrepancies with relevant teams promptly, ensuring the appeals response occurs according to contractual agreements.

Denial Appeals Analyst, Mid-level

• Provide support for administrative processes across all areas of the organization, covering a variety of tasks such as monitoring activities, registering incoming and outgoing documents, making contacts and handling telephone calls, assisting suppliers, the public and employees from other departments, providing and receiving information, processing various documents from preparation through receipt and authorization and following all required procedures, and preparing reports and spreadsheets according to the guidelines of the area.
• Perform general administrative routines.
• Organize documents and spreadsheets.
• Support Analysts and Coordinators in their areas.
• Provide support to other departments and assist internal and external clients.

Intern – Concurrent Audit

• Monitor, analyze, and quantify healthcare service costs and performance indicators of accredited providers, in-house resources, and providers within the Unimed network, operating at tactical and strategic levels.
• Build management reports and present identified results and opportunities.
• Analyze concentration of cost metrics, proposing adjustments and process and behavioral improvements to support decision-making.
• Collect and analyze large volumes of data, prepare strategic reports for business areas, and automate database processing to support decision-making.
• Develop new indicators to inform and guide decision-making with a focus on reducing healthcare costs.
• Prepare executive presentations that clearly and concisely translate evaluated data to facilitate decision-making.
• Research and stay up to date on the supplementary healthcare sector.
• Conduct studies on the operation of medical and healthcare systems, as well as population, political, environmental, and cultural behaviors that affect the supplementary healthcare sector in Brazil.
• Produce statistical and predictive models using clustering and classification techniques, develop (or recommend) algorithms, and perform data exploration.
• Map coherence aspects across diverse knowledge domains, identify emerging key elements, and propose the incorporation of innovative elements into practical activities.
• Build customized dashboards to automate recurring analyses.