Business Executive

Jobtailor; São Paulo; Presencial; BRL 100 440 - 200 880; Tempo integral

Resumo da oferta

Jobtailor in Brazil seeks a healthcare commercial specialist to manage payer relationships, expand the service portfolio, and monitor utilization and billing. The role requires a relevant degree and hospital-segment experience, with knowledge of CBHPM and related tables. Strong Office skills are expected.

The incumbent will train internal teams, present monthly management reports, and contribute to strategy with performance indicators for payer-portfolio actions.

Qualificações

• Bachelor's degree in Business Administration, Hospital Administration, Marketing, Nursing, or related fields.
• Experience in the hospital segment is required.
• Knowledge of commercial rules for daily rates, medical fees, exams, materials, medications, OPMEs and packages.
• Familiarity with CBHPM, AMB, LPM, Simpro, Brasíndice tables.
• Intermediate knowledge of Microsoft Office.

Responsabilidades

• Relationship and negotiation with healthcare payers.
• Negotiate to expand the service portfolio.
• Monitor utilization profiles by payer.
• Map the main commercial rules of contracts.
• Monitor monthly billing.
• Prepare comparative studies and impact spreadsheets.
• Provide training to internal teams.
• Present monthly reports to management.
• Present performance indicators for payer-portfolio actions.

Conhecimentos

Payer negotiations

Billing monitoring

Service portfolio management

Commercial rules knowledge

Formação académica

Bachelor's degree in Business Administration, Hospital Administration, Marketing, Nursing, or related fields

Ferramentas

MS Office

Descrição da oferta de emprego

Responsibilities

• Relationship and negotiation with healthcare payers
• Negotiate to expand the service portfolio
• Monitor utilization profiles by payer
• Map the main commercial rules of contracts
• Monitor monthly billing
• Prepare comparative studies and impact spreadsheets
• Provide training to internal teams
• Present monthly reports to management
• Present performance indicators for payer-portfolio actions

Requirements

• Bachelor's degree in Business Administration, Hospital Administration, Marketing, Nursing, or related fields.
• Previous experience in the role (hospital segment).
• Knowledge of commercial rules for daily rates and fees, medical fees, exams, materials, medications, OPMEs and packages
• Familiarity with CBHPM, AMB, LPM, Simpro, Brasíndice tables
• Intermediate knowledge of Microsoft Office

Core Competencies

Demonstrates expertise in negotiating with healthcare payers and managing service portfolios, alongside proficiency in monitoring billing and utilization profiles. Capable of providing training and presenting performance indicators to internal teams and management.