Operations Audit Analyst

Unimed

Auditor executing auditing processes and analyzing operational efficiency in healthcare for Unimed Porto Alegre. Requires strong Excel skills and knowledge of ANS legislation with a bachelor's degree.

Posted 7/23/2026full-timePorto Alegre • 🇧🇷 BrazilMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing authorization workflows and operational controls, ensuring compliance with regulations, and optimizing audit processes. Proficient in utilizing Unimed systems and Excel for data analysis and reporting.

Highest-signal resume keywords

Authorization Workflow AnalysisOperational Control VerificationExcel ProficiencyANS Legislation KnowledgeTraining Delivery

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisAudit Process ManagementOperational Task ExecutionCost-Saving IdentificationRegulatory Compliance

Soft Skills

Problem ResolutionStakeholder CommunicationCollaboration

Tools & Technologies

Unimed Porto AlegreUnimed System

Certifications & Qualifications

Bachelor's DegreePostgraduate Degree

Industry Keywords

Authorization DeadlinesRegulation WorkflowAudit ProfessionalsOperational DemandsCourt Injunctions

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor's degree (required)
Postgraduate degree completed or in progress
Intermediate-level Excel skills
Knowledge of ANS legislation

Benefits

Comp & perks

Health assistance program
Training program
Hybrid work