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Junior Business Rules Analyst
Unimed Nacional. Support the establishment of parameters for the standardization and control of products related to the processing of services within Central Nacional Unimed’s accredited network and the National Interchange, working under guidance.
About the role
Key responsibilities & impact- Support the establishment of parameters for the standardization and control of products related to the processing of services within Central Nacional Unimed’s accredited network and the National Interchange, working under guidance.
- Register items based on data published by regulatory bodies and information owners (ANS, Unimed do Brasil, and Commercial Departments) through the relevant systems.
- Configure rules established by regulatory bodies and negotiated agreements, in accordance with guidelines.
- Assist with requests for the creation of new codes, classification changes, corrections, and information required by regulatory bodies.
- Update product pricing in the internal healthcare management system based on Simpro, Brasíndice, CBHPM, and Unimed do Brasil.
- Establish coding relationships among the tables used for standardization.
- Support the analysis and updating of business rules published by regulatory bodies and information owners.
- Provide the information required for system implementation involving authorization, payment, and billing for contracted services.
- Provide support to operational departments, including Medical Accounts, Billing, and the Contact Center.
- Prepare standardized supporting documentation covering medical and nursing technical criteria, ANS and Unimed do Brasil business criteria, and commercial criteria.
- Prepare and deliver presentations on implemented parameters and new configurations.
- Comply with internal regulations, quality management system requirements, ANS regulations, and occupational health, hygiene, and safety standards, including the use of PPE/PPC when required.
- Perform other activities inherent to the position or assigned by the immediate supervisor, when qualified.
Requirements
What you’ll need- Bachelor’s degree in Nursing, Business Administration, or a related field.
- This position is also open to people with disabilities (PwD).
Benefits
Comp & perks- Medical Insurance: Ambulatory, 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 medications at participating pharmacies, with payroll deductions and a limit based on salary.
- Wellhub (formerly Gympass): Wellness platform providing access to gyms and health apps, extended to up to three dependents.
- Meal Card: Daily allowance credited for each business day worked to cover meals.
- Food Card: Monthly allowance to help with grocery purchases.
- Private Pension Plan: Company-sponsored plan to support long-term savings and future income.
- Life Insurance: Death and disability coverage providing financial protection for you and your family.
- PPR (Profit-Sharing Program): Annual reward based on the cooperative’s achievement of collective targets.
- Transportation Allowance: Available for commuting between home and work in on-site or hybrid arrangements.
- Parking: Partnerships with parking networks near company locations.
- Day Off: One day of leave granted after your birthday for you to use as you wish.
- Family Support: Daycare or nanny assistance for employees with children up to 16 months old.
- Benefits Club: Partnerships and discounts at educational institutions, language schools, and leisure venues.