Network Analyst
Unimed Nacional
full-time
Posted on:
Location Type: Hybrid
Location: São Luís • 🇧🇷 Brazil
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Validate the application of the contractual index (IPCA) according to the conditions established in the contract, performing checks and making notes when necessary.
- Conduct periodic visits to providers, focusing on operational contract monitoring and institutional relationship management.
- Support providers in liaising with headquarters, acting in low-resolution situations to restore operational flow and relationships.
- Gather and analyze provider performance indicators, focusing on billing, care profile, and service delivery, preparing comparisons and inputs for management.
- Monitor network qualification according to criteria defined by headquarters, ensuring adherence to mandatory regulations and internal guidelines.
- Execute the documentation process for new accreditations, ensuring registration and regulatory compliance.
- Perform the systematic evaluation of new accreditations according to pre-established criteria.
- Monitor the registration progress of new providers, ensuring information is up to date and consistent.
- Verify the alignment of the new provider's profile with the conditions defined by the Interchange area, reporting deviations when identified.
- Attend to providers through various communication channels, recording and tracking requests according to defined workflows.
Requirements
- University degree in Business Administration, Health Management, or related fields
- Previous experience in provider network management, credentialing, negotiation, or related areas of supplementary healthcare
Benefits
- Candidates with disabilities are considered for all our vacancies
- Unimed Nacional values and supports diversity. People with disabilities, and pluralities of race, color, religion, gender and gender identity, nationality, sexual orientation, or age are considered for all our vacancies, as we believe in the importance of cooperating and sharing diverse ideas and viewpoints.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
contractual index validationprovider performance analysisbilling analysisservice delivery evaluationaccreditation documentationregulatory compliancenetwork qualification monitoringprovider registrationcredentialingnegotiation
Soft skills
relationship managementcommunicationproblem-solvingorganizational skillsanalytical skills
Certifications
University degree in Business AdministrationUniversity degree in Health Management