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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in operational management within the healthcare sector, focusing on process mapping, policy implementation, and compliance with regulatory standards. Proficient in defining KPIs, managing financial accuracy, and fostering cross-functional collaboration to enhance service delivery.
Highest-signal resume keywords
Operational ManagementProcess Mapping and RedesignKPI and SLA ManagementHealthcare Regulatory ComplianceClient Relationship Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Process MappingPolicy ImplementationKPI DefinitionSLA ManagementFinancial ManagementBilling AccuracyReconciliationContract NegotiationData AnalysisDashboard Creation
Soft Skills
Cross-Functional CollaborationResults OrientationAccountabilityCommunicationProblem-Solving
Tools & Technologies
ExcelPower BIFinancial ERP SystemsCRM SystemsTicketing Systems
Industry Keywords
Healthcare SectorHealth InsurancePharmaceutical CompaniesPatient Support ProgramsRegulatory ComplianceANVISAANSLGPD
About the role
Key responsibilities & impact- Map and redesign processes across the areas under your responsibility, identifying bottlenecks and failure points
- Establish policies, standards, and standardized operating procedures (SOPs)
- Define and implement KPIs and SLAs for critical stages
- Establish routines for tracking targets and mechanisms for deadline visibility
- Implement dashboards and management reports to support data-driven decision-making
- Ensure speed, quality, documentation, training, and compliance in the credentialing of clinics, hospitals, laboratories, and logistics operators
- Establish prioritization criteria for urgent credentialing requests
- Ensure the validation of provider invoices and approval of payments
- Ensure the accuracy and timeliness of billing to clients
- Safeguard financial accuracy and implement reconciliation and control mechanisms
- Keep information on public and private access to medicines up to date and readily accessible
- Ensure the quality and consistency of the Access Concierge service, guiding patients and supporting responses to coverage denials
- Establish service standards and response times
- Act as the escalation point and primary liaison with pharmaceutical industry clients
- Implement status meetings and performance reports
- Foster a culture of accountability, cross-functional collaboration, and results orientation
Requirements
What you’ll need- Bachelor’s degree in Management, Engineering, Pharmacy, or a related field
- Solid knowledge of operational management and experience leading multiple teams
- Experience in the healthcare sector, including health insurance operators, hospitals, laboratories, pharmaceutical companies, or patient support programs (PSPs)
- Experience managing relationships with demanding corporate clients
- Knowledge of process mapping and redesign using AS IS / TO BE methodologies and BPMN notation
- Experience designing and implementing policies, standards, and standard operating procedures (SOPs)
- Experience defining and managing KPIs and SLAs, creating dashboards, and tracking targets
- Knowledge of operational financial management, including billing, reconciliation, accounts receivable, and margin control
- Knowledge of healthcare regulatory compliance, including ANVISA, ANS, and LGPD as applied to sensitive health data
- Experience negotiating and managing contracts with healthcare service providers
- Advanced proficiency in Excel and BI tools (Power BI or similar)
- Familiarity with financial ERPs and workflow, CRM, or ticketing systems
Benefits
Comp & perks- Health insurance
- Dental insurance
- Home office allowance
- Meal allowance
- Transportation allowance
- Life insurance
- Private pension plan
- PPR – Profit-Sharing Program
- Viveo Health Center, offering in-person specialties and an online platform
- Exclusive discounts at the Mafra Especialidades store
- TotalPass
- Exclusive employee partnerships and discounts
- Subsidy of up to 70% of the cost of assistive devices and prostheses for employees with disabilities and employees rehabilitated by Brazil’s National Social Security Institute (INSS)
- Replacement of assistive devices every two years upon medical recommendation for employees with disabilities and employees rehabilitated by INSS
