Hospital Cost and Budget Analyst

Role Overview

• Assist with implementing absorption costing methodology, including defining and collecting cost drivers (such as procedure volumes, resource usage hours and allocation of overheads), and perform related tasks such as data validation and periodic adjustments.
• Calculate direct and indirect costs across multiple dimensions — patient care, procedure, service, payer, cost center — using methodologies such as absorption costing.
• Prepare and maintain cost monitoring controls by department, by production and by service.
• Track 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 variances.
• Develop 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.
• Participate in the annual and monthly budgeting cycle, consolidating data, monitoring variances (actual vs. budget) and proposing corrective actions.
• Support analysis of the financial impact of physician reimbursements, ensuring contract compliance 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 system configuration teams.
• Identify operational waste and propose process improvements.
• Comply with internal regulations, quality management system requirements, and ANS (Brazilian National Supplementary Health Agency) regulations, as well as health, hygiene and occupational safety standards and procedures relevant to the sector; use PPE/CPE (personal protective equipment / collective protective equipment) when required by the activity.
• Perform other duties inherent to the role or assigned by the immediate supervisor, provided the employee is qualified and the tasks are consistent with their knowledge and experience.

Requirements

• Bachelor’s degree in Business 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 fee schedules (TUSS, CBHPM) and physician reimbursement rules.
• Familiarity with healthcare legislation (ANS) and contract management.

Tech Stack

• ERP
• Tableau

Benefits

• Medical Insurance: Outpatient, hospital and obstetric coverage for you and your legal dependents.
• Dental Insurance: Company-subsidized plans covering basic procedures up to orthodontics and prosthetics.
• Pharmacy Agreement: Discounted medication purchases at a network of pharmacies with payroll deduction and limit based on salary.
• Wellhub (Gympass): Wellness platform with access to gyms and health apps, extendable to up to 3 dependents.
• Meal Card: Amount credited per working day for daily meals.
• Food Card: Monthly credited allowance to assist with grocery purchases.
• 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 Program): Annual reward based on achieving the cooperative's collective targets.
• Commuter Allowance: Available for travel between home and workplace in on-site or hybrid arrangements.
• Parking: Agreements with parking facilities near the company's units.
• Day Off: One 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 options.