Medical Consultant – Supplementary Health

Role Overview

• Ensure effective relationships with health plan operators through in-person, telephone and digital communications and interactions to secure effective management of results for the health policies in the mid-size and large client portfolio.
• Prepare reports and presentations (Health Committees, studies and post-committee follow-ups) by organizing data, information and quantitative and qualitative analyses of health, financial and population trends in contracts to support decision-making by senior management and/or the Board.
• Manage medical cases of medium and high clinical and/or financial complexity through a set of resolutive actions aimed at positively impacting the health status of insured members.
• Develop new health products and/or services by preparing and implementing prevention, promotion, protection and rehabilitation actions to deliver value to the client.
• Provide appropriate support to insured members and/or their dependents by offering clear and objective guidance in accessible language to indicate the appropriate technical direction for their needs.
• Provide technical consulting through needs assessment and understanding of the business environment to offer efficient, productive solutions that optimize the company’s operational efficiency and performance.
• Identify opportunities for improvement through mappings carried out during the area’s processes, procedures and workflows, suggesting actions that enable continuous improvement and persistent enhancement of products and/or services.
• Perform other related professional activities inherent to the position as required by the area’s needs and demands, including training, professional qualification and guidance from the immediate supervisor to ensure continuous professional development.
• Actively contribute to the development of performance indicators (KPIs), objectives and key results (OKRs) and new company projects.

Requirements

• Medical degree
• Active CRM (Regional Medical Council) registration required
• Postgraduate degree / specialization / MBA in Project Management
• Professional experience in business and medical consulting focused on health management
• Client focus, professionalism, innovation, collaboration, decision-making, strategic vision and planning

Benefits

• Health and Dental Insurance
• Life Insurance
• Meal and/or food vouchers
• Transportation voucher
• Profit-sharing (PLR)
• Wellhub
• Wellz
• Day off
• Apoio Pass for you and your dependents
• Discounts on personal insurance purchases such as auto, life, home, travel and others