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Posted: 10/10/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing authorization requests, including verification of health plan coverage and timely approvals or denials. Proficient in utilizing health plan management systems and maintaining compliance with regulations from ANS.
Highest-signal resume keywords
Authorization ManagementHealth Plan Coverage VerificationIntermediate Excel ProficiencyKnowledge of ANS RegulationsClient Communication
About the role
Key responsibilities & impact- Review authorization requests received through the Unimed portal, website, in-person service, call center, and other channels
- Monitor deadlines and targets for authorization requests
- Stay up to date on the cooperative’s processes
- Perform the preliminary review and administrative validation of requests, identifying denials, waiting periods, medical reports, and documents in the TOTVS system
- Verify health plan coverage and approve or deny authorizations in a timely manner
- Enter authorizations into the health plan management system
- Contact beneficiaries, cooperative members, and providers by telephone, providing information regarding denials, authorizations, medical review boards, and document requests
- Report the need for corrections to system parameters
- Handle authorization requests from clients, providers, and other Unimeds
- Seek solutions to questions from clients, providers, and the cooperative
- Support the provider network, contracting companies, and other departments on authorization-related matters
- Contribute to projects aligned with the company’s and department’s strategies
- Support and resolve operational demands affecting audit processes
- Monitor and schedule meetings related to Medical Audit for the department manager
- Handle prioritization requests and inquiries regarding authorizations or denials of medical procedures and exams under Medical Audit
Requirements
What you’ll need- High school diploma
- Intermediate proficiency in Excel
- Knowledge of current regulations issued by ANS (National Supplementary Health Agency)
- Degree in progress or completed in Business Administration, Processes, or a related field (preferred qualification)
- Postgraduate studies in progress or completed (preferred qualification)
Benefits
Comp & perks- Opportunity to share your experience, learn more about the company culture, and be considered for future opportunities aligned with your profile
- Dynamic environment with involvement in various projects
- Ongoing development
- Support for professional growth
- Position also open to candidates with disabilities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Authorization ReviewAdministrative ValidationMedical Report AnalysisTOTVS System UsageHealth Plan Management System Entry
Soft Skills
Problem-SolvingCommunicationCollaborationTime Management
Industry Keywords
Medical AuditAuthorization RequestsCooperative ProcessesOperational DemandsContracting Companies