Serve as the interface between clients and HealthBit, acting as the focal point and ensuring the implementation and execution of health action plans;
Identify opportunities for health promotion, reduction of health incidents, and cost and claims mitigation within the assigned client portfolio, proposing and implementing actions accordingly;
Develop, implement and monitor health promotion initiatives focused on well-being, quality of life and reduction of health incidents;
Manage requests for reports, analyses, newsletters, events, lectures and health programs;
Prepare indicator reports together with the data analyst and present them at health committees/KPI meetings;
Prepare descriptive health analyses and monitoring program reports;
Conduct health follow-up and prepare health profile reports;
Ensure compliance and balance of HBit clients' medical accounts by performing account analyses, reviewing technical dossiers of health claims, evaluating high-complexity claims, issuing technical opinions and validating procedures according to clinical guidelines, protocols and ANS regulations;
Conduct hospital visits for competitor audits;
Manage severe cases, discharge planning, home care and hospitalization authorizations, proposing appropriate actions.

Experience in audits and relationship management with health insurers/operators;
Bachelor's degree in a health-related field (nursing, nutrition, pharmacy, physiotherapy);
Proficiency with Microsoft Office;
Availability to work in a hybrid model in São Bernardo do Campo, SP;
Active professional registration/license;
Experience in client relationship management.

Health Analyst

Key skills