Auditor responsible for agent audits and recertifications in the title insurance industry. Ensures compliance with regulations and conducts evaluations of escrow processes in assigned regions.
About the role
- Enfermeiro Auditor III providing technical consulting and audit services in healthcare regulation for Unimed in Brazil. Responsible for training and evaluating healthcare units.
Responsibilities
- Provide technical advice and consulting to system units on health regulation matters.
- Represent the department at events, technical working groups and national/state committees.
- Conduct audits of hospital accounts, analyze claim denials (glosas) and evaluate home care services.
- Contribute to authorization processes, nursing audits and provide technical responses via corporate systems.
- Deliver trainings, lectures and capacity-building sessions for auditors and technical teams.
- Participate in scientific committees and support the development of technical content for specialized events.
- Assess and validate care packages in the internal system.
- Support the implementation and monitoring of the DRG model.
- Perform other activities related to auditing and health regulation.
Requirements
- Bachelor's degree in Nursing.
- Availability to travel required.
- Experience with DRG.
- Postgraduate degree in Health Auditing preferred.
- Clinical nursing practice and/or experience in nursing audit.
Benefits
- Profit-sharing (Participation in Results)
- Medical insurance (Unimed)
- Dental insurance (Unimed)
- Hybrid work model
- Private pension plan
- Life insurance
- Meal voucher or food allowance
- Transportation voucher or fuel allowance
- Happy Day
- Wellhub
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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