Hospital Cost and Budget Analyst

Role Overview

• Assist in implementing the absorption costing methodology, including defining and collecting cost drivers (such as procedure volumes, resource utilization hours and allocation of shared costs), as well as performing methodology-related tasks such as data validation and periodic adjustments.
• Calculate direct and indirect costs across multiple dimensions — encounter, procedure, service, payer/health plan, cost center — using methodologies such as absorption costing.
• Prepare and maintain cost monitoring controls by department, by production/activity and by service.
• Monitor economic-care indicators, including cost per patient, cost per department and cost per procedure.
• Support internal and external audits by providing evidence and explanations for cost variations.
• Build management reports, dashboards and critical analyses to support decision-making.
• Work in partnership with clinical areas, procurement, billing and accounting to obtain information and align costing criteria.
• Participate in the review and optimization of costing processes and the accounting/reporting flow.
• Take part in the annual and monthly budget cycle, consolidating data, monitoring variances (actual vs. budgeted) and proposing corrective actions.
• Support analysis of the financial impact of medical reimbursements, verifying compliance with contracts and identifying optimization opportunities.
• Contribute to economic feasibility studies for new services, technologies or expansions, including pricing proposals for private-pay procedures.
• Ensure the quality and integrity of data extracted from ERP systems, collaborating with master data and configuration teams.
• Identify operational waste and propose process improvements.
• Comply with internal regulations, the requirements of quality management systems, compliance with ANS regulations (Brazilian National Supplementary Health Agency), and the health, hygiene and occupational safety norms and procedures applicable to the sector, including the use of PPE/CPE (Personal Protective Equipment/Collective Protective Equipment) when the activity requires it.
• Perform other duties inherent to the role or as directed by your immediate supervisor, provided you are qualified and they are consistent with your knowledge and experience.

Requirements

• Bachelor's degree in Administration, Accounting, Economics or related fields.
• Postgraduate degree in Controllership, Finance or Healthcare Management is desirable.
• Experience in cost analysis, budgeting or controllership, preferably in the hospital or healthcare sector.
• Advanced Excel skills (Power Query, Power Pivot), BI tools (Power BI or Tableau) and hospital ERP systems (TASY, MV or similar).
• Knowledge of hospital cost accounting, procedure tables (TUSS, CBHPM) and physician reimbursement rules.
• Familiarity with health sector legislation (ANS) and contract management.

Tech Stack

• ERP
• Tableau

Benefits

• Medical Insurance: Outpatient, hospital and obstetric coverage for you and your legal dependents.
• Dental Care: Company-subsidized plans covering basic procedures through orthodontics and prosthetics.
• Pharmacy Program: Access to discounted medications at participating pharmacies with payroll deduction and limits based on salary.
• Wellhub (Gympass): Wellness platform with access to gyms and health apps, extendable to up to 3 dependents.
• Meal Card: Daily credit for meals for each working day.
• Grocery Card: Monthly credit to assist with grocery shopping.
• Private Pension: Company-sponsored plan to help build financial reserves and future income.
• Life Insurance: Coverage for death and disability, providing financial protection for you and your family.
• PPR (Profit Sharing/Performance Bonus): Annual reward based on achievement of the cooperative's collective goals.
• Transport Voucher: Available for commuting between home and work in on-site or hybrid arrangements.
• Parking: Agreements with parking networks near company facilities.
• Day Off: One paid day off granted after your birthday for you to use as you wish.
• Family Support: Childcare or nanny assistance for employees with children up to 16 months.
• Benefits Club: Partnerships and discounts with educational institutions, language schools and leisure providers.