Auditor de Saúde I na Unimed, responsável por auditar práticas de saúde e garantir conformidade com normas. Valorização da diversidade e cuidado com as pessoas são essenciais.
Responsibilities
Check requests against ANS time limits, monitoring authorization and deadline releases;
Audit OPMEs (orthoses, prostheses and special materials) using basic tools: contracts, agreed price tables, mathematical calculations for correct billing, and current ANS regulations;
Contact the attending physician to adjust requests according to good clinical practices, analyzing and advising the involved areas;
Verify general information and deny the procedure/OPME when the request is not justified;
Comply with internal regulations and quality management system requirements, observe and follow ANS regulations, as well as applicable health, hygiene and occupational safety standards and procedures; use PPE/CPE (personal protective equipment/collective protective equipment) when the activity requires it.
Requirements
Bachelor’s degree in Nursing with active COREN registration (Regional Nursing Council)
Assurance Senior implementing planned audit procedures for clients at EY Guam. Responsible for coordinating audits and maintaining client relationships while ensuring compliance with standards.
Senior Auditor leading audit engagements at EY to improve risk management and governance processes. Collaborating with financial entities to understand operations and delivering quality auditing services.
Auditor I assisting in financial, compliance, and operational audits at BlueCross BlueShield. Conducting audits and recommending corrective actions to improve processes.
Senior Analyst in Audit at Nitro, focusing on continuous auditing and analytics with Agile approach. Developing data - driven mechanisms to monitor risks and processes effectively.
Lead IT Auditor & Tech Risk Expert reporting to the Group Risks & Control Department. Conduct complex IT audits, advise on cybersecurity and compliance, and drive improvements in IT risk governance.
ISO 27001 Auditor conducting audits based on ISO/IEC 27001 standards at Bureau Veritas. Ensuring compliance and effectiveness of organization's ISMS with relevant auditing guidelines.
Construction Grants Auditor providing grant compliance expertise on construction projects. Supporting government clients with monitoring initiatives and ensuring adherence to regulations.
Principal Auditor overseeing audit activities for Swiss Re in Asia Pacific, providing assurance to stakeholders. Collaborating with teams to assess risks, controls, and deliver audit insights.
Auditor managing international internal business process audits for EOS Holding. Analyzing compliance, efficiency, and security of operations with reporting responsibilities.
Senior Staff Auditor focused on conducting operational and compliance audit projects at Capital One. Delivering high - quality assurance services and working collaboratively within a dedicated audit team.