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Concurrent Audit Supervisor
Unimed Nacional. Supervise the area’s medical and nursing operations, ensuring compliance with the health plan operator’s policies and applicable legislation.
About the role
Key responsibilities & impact- Supervise the area’s medical and nursing operations, ensuring compliance with the health plan operator’s policies and applicable legislation.
- Guide the team in achieving results, productivity, and quality targets.
- Ensure compliance with deadlines for concurrent audit and medical billing processes.
- Oversee the operations and deliverables of outsourced teams providing services to the health plan operator.
- Follow up on findings, lead negotiations, and monitor the resolution of cases involving adverse events.
- Support the team in discharge planning and provide technical nursing support to the local audit team.
- Support the coordination team in implementing and maintaining the DRG system, as well as monitoring the area’s performance indicators and targets.
- Participate in meetings with the audit, quality, and patient safety teams at accredited hospitals to discuss cases.
- Identify negotiation opportunities and contribute to the development of continuous improvements.
- Manage all people-related activities, including attendance tracking, vacation scheduling, training, and feedback, promoting performance management in partnership with HR.
- Ensure compliance with internal regulations, quality requirements, ANS regulations, and occupational health and safety standards.
- Liaise with other company departments to enhance the efficiency and performance of activities.
- Monitor key indicators, such as average length of hospital stay.
Requirements
What you’ll need- Bachelor’s degree in Business Administration, Accounting, Economics, or a related field.
- Specialization courses or an MBA will be considered an advantage.
- Behavioral competencies: Customer Centricity, Communication and Influence, People Leadership, Critical Situation Resolution, Results Orientation with Ownership, Teamwork, and Systems Thinking.
Benefits
Comp & perks- Medical Insurance: Outpatient, hospital, and maternity coverage for you and your eligible dependents.
- Dental Insurance: Company-subsidized plans covering services ranging from basic procedures to orthodontics and prosthetics.
- Pharmacy Benefit: Convenient access to discounted prescription and over-the-counter medications at participating pharmacies, with payroll deduction and a limit based on salary.
- Wellhub (Gympass): Wellness platform providing access to gyms and health apps, available to up to three dependents.
- Meal Card: Daily credit for meals for each day worked.
- Food Card: Monthly credit to help cover grocery purchases.
- Private Pension Plan: Company-sponsored plan to support the creation of long-term financial reserves and future income.
- Life Insurance: Coverage for death and disability, providing financial protection for you and your family.
- PPR (Profit-Sharing Program): Annual reward based on achievement of the cooperative’s collective targets.
- Transportation Allowance: Available for commuting between home and work under on-site or hybrid arrangements.
- Parking: Agreements with parking networks near the company’s locations.
- Birthday Day Off: One day of leave granted after your birthday for you to enjoy as you choose.
- Family Support: Childcare or nanny allowance for employees with children up to 16 months old.
- Benefits Club: Partnerships and discounts at educational institutions, language schools, and leisure venues.