Senior Data Scientist and AI Engineer (Brazil, Remote)
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Unimed Nacional is a Brazilian healthcare organization founded in 1998 that provides healthcare services and member benefits through a network of healthcare professionals and facilities. Its work focuses on expanding access to medical care and delivering healthcare solutions for individuals and families. The organization operates across healthcare, healthcare insurance, and nonprofit sectors.
Concurrent Audit Supervisor — São Paulo (Hybrid)
Supervise concurrent audit operations at Unimed Nacional, a national health plan operator. Lead teams, medical audits, DRG indicators, and people management.
Description
- Oversee medical and nursing operations while ensuring compliance with company policies and applicable laws.
- Lead the team toward results, productivity, and quality objectives.
- Keep concurrent audit and medical billing activities on schedule.
- Supervise the work and deliverables of outsourced service teams.
- Track findings, conduct negotiations, and oversee resolution of adverse-event cases.
- Assist with discharge planning and provide technical nursing support to the local audit team.
- Help implement and maintain the DRG system while tracking performance indicators and targets.
- Join audit, quality, and patient safety meetings with accredited hospitals to review cases.
- Find negotiation opportunities and support continuous improvement initiatives.
- Handle people-management activities, including attendance, vacation planning, training, and feedback, in partnership with HR.
- Maintain compliance with internal policies, quality standards, ANS regulations, and occupational health and safety requirements.
- Collaborate with other departments to improve operational efficiency and performance.
- Track key metrics, including average hospital length of stay.
Requirements
- Bachelor’s degree in Business Administration, Accounting, Economics, or a related discipline.
- Specialized training or an MBA is considered a plus.
- Behavioral strengths include customer focus, communication and influence, people leadership, critical-issue resolution, accountable results orientation, teamwork, and systems thinking.
Benefits
- Medical insurance with outpatient, hospital, and maternity coverage for employees and eligible dependents.
- Company-subsidized dental plans covering basic care, orthodontics, and prosthetic services.
- Pharmacy benefit offering discounts on prescription and over-the-counter medicines at participating pharmacies, with payroll deduction and a salary-based limit.
- Wellhub (Gympass) access to gyms and wellness apps for employees and up to three dependents.
- Meal card credit for each day worked.
- Monthly food card credit for grocery expenses.
- Employer-sponsored private pension plan to help build long-term financial reserves and future income.
- Life insurance covering death and disability for financial protection of employees and their families.
- Annual PPR profit-sharing award tied to achievement of the cooperative’s collective targets.
- Transportation allowance for commuting between home and work under on-site or hybrid arrangements.
- Access to parking agreements near company locations.
- A birthday day off granted after the employee’s birthday.
- Childcare or nanny allowance for employees with children up to 16 months old.
- Benefits club discounts and partnerships with educational institutions, language schools, and leisure venues.
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