Auditor at Exco engaging in financial audits for local and international clients. Working with a supportive team to enhance skills and methodologies in a structured environment.
About the role
- Auditory role in healthcare management focusing on chronic and oncology patient care in Brazil. Collaborating with professionals to ensure comprehensive patient support and care quality.
Responsibilities
- Monitor the care journey of chronic and oncology patients, providing guidance on self-care and facilitating access to the contracted provider network.
- Work collaboratively with physicians, nurses and other professionals to discuss clinical cases and align care approaches.
- Identify, assess and refer beneficiaries to appropriate health programs.
- Analyze enrollment (onboarding), extensions and discharge (weaning/discharge) of patients in home care services.
- Conduct occasional home visits to audit the quality of services provided and validate the care delivered.
- Evaluate and validate home care plans, budgets, contract addenda and incidents/complications.
- Compare cost-effectiveness between home-based hospitalization and in-hospital care, and analyze approvals for OPME (orthoses, prostheses and special medical supplies).
- Review compliance of records, apply claim adjustments/denials when necessary, and ensure adherence to applicable regulations (ANS, Unimed).
Requirements
- Bachelor's degree in Nursing, Physical Therapy, Speech-Language Pathology, Nutrition or Psychology, with active registration in the respective professional council/board
- Postgraduate specialization in Health Management, Project Management or Health Auditing
- Intermediate Excel skills
Benefits
- Candidates with disabilities are welcome to apply
- Inclusive and diverse workplace respecting race, color, religion, gender and gender identity, nationality and sexual orientations
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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