●Foco em atingir os melhores resultados para campanhas digitais ●Definição de metas, planejamento e acompanhamento de KPIs. ●Garantir a execução de campanhas baseadas em dados, utilizando ferramentas e plataformas de automação de marketing, análise de dados e otimização contínua.●Gestão de campanhas pagas em plataformas como Google Ads, Facebook Ads e outras mídias digitais.●Monitoramento e otimização de resultados, focando em métricas como ROI, CPL, CPA e conversão.●Supervisão de equipes, promovendo alinhamento com os objetivos da empresa.●Desenvolvimento de estratégias para impulsionar a aquisição de clientes e engajamento.●Uso de ferramentas de análise de dados para identificar tendências e oportunidades de melhoria.●Alinhamento com stakeholders internos e externos para garantir a execução de estratégias eficazes.

● Data Analysis and Investigation: Use of analytical tools and languages (SQL, R, Excel, Power BI) and statistical methods to identify fraud patterns in extensive databases. In-depth approach with detailed research for a comprehensive analysis of suspicious cases.● Dashboard Creation and Management in Power BI: Development of visual panels for analyzing costs, frauds, and performance, highlighting features such as heat maps, network mapping, monitoring of network provider costs and reimbursements, as well as anomaly detection and cluster analysis.● Antifraud Controls: Implementation of antifraud rules, enhancing financial security by contributing to the creation of over 60 rules and analyses to identify suspicious behaviors.● Data-Driven Presentations: Transformation of complex analyses into insights, guiding strategic decisions with a data-based approach.● Process Optimization and Automation: Application of Lean Six Sigma principles, focusing on continuous improvement and cost reduction, combined with the implementation of task automation robots using Power Automate and Autoit.● Compilation of Dossiers for Suspicious Cases: Creation of dossiers for each suspicious case, including involved parties, evidence, methodology and typification, financial impacts, and preventive and corrective measures.●Complaints Management: Handling of complaints received through internal and external channels, conducting follow-up, investigation, and providing feedback.● Employee Training: Training in fraud identification and prevention for new team members, as well as promoting awareness of the impacts of fraud and fostering organizational integrity.

● Report Management: Creation of management reports in Power BI and Excel to support decision-making, focusing on medical and dental costs.● Medical and Dental Data Analysis: Investigation of unusual patterns and deviations in the use of medical and dental services.● Fraud Management: Response and analysis of fraud inquiries and complaints, with the development and implementation of anti-fraud rules aimed at minimizing financial losses.● Process Optimization: Identification and implementation of improvements in existing processes.● Maintenance of Pricing Tables: Regular updates of medical and dental reimbursement pricing tables.

● Network Sufficiency Analysis: Evaluation of the provider network coverage according to locations and demand.● Costs and Negotiation Impact: Assessment of costs and impacts of negotiations with the Provider Network, including estimates of unreported claims.● Table Maintenance: Updating of private tables.● Medical Procedures Pricing: Setting prices for medical procedures according to AMB / CBHPM.● Negotiation with Provider Network: Dialogue with the provider network for service agreements.● Network Performance Analysis: Assessment of the provider network's performance.● Relationship with Provider Network: Interaction with the provider network to improve processes, tables, and services.● Internal Support: Assistance to company areas related to the provider network.

● Medical Account Analysis: Settlement of inpatient and outpatient accounts, focusing on accuracy and adherence to policies.● Auditing and Adjustments: Conducting audits on medical accounts for the application of adjustments, aiming at the correct execution of reimbursements.● Data and Report Management: Updating management reports and handling spreadsheets in Excel and databases in Access for organizing and analyzing information.

● Handling of Reimbursement Documents: Receiving, verifying, and sorting documents, drafting refund return letters for mailing.

● Preparation and Packaging: Selection and packaging of glass products, palletizing boxes, and assembling cases.● Production Area Organization: Maintaining order in the spaces around the production lines.