Eduardo Ramos de Lima

Gerente de Operações em Saúde at Fundacao Sabesp De Seguridade Social - Sabesprev
  • Claim this Profile
Contact Information
us****@****om
(386) 825-5501
Location
São Paulo, São Paulo, Brazil, BR
Languages
  • Inglês Full professional proficiency
  • Francês Professional working proficiency
  • Português Native or bilingual proficiency

Topline Score

Topline score feature will be out soon.

Bio

Generated by
Topline AI

You need to have a working account to view this content.
You need to have a working account to view this content.

Experience

    • Gerente de Operações em Saúde
      • Oct 2015 - Present

      Domínios: Gestão Assistencial, Controle de Sinistralidade, Processos em Saúde, Melhoria Contínua e Liderança.Principais Atribuições:- Responsável pela reestruturação da área (order to cash) com a colaboração da equipe objetivando a padronização e melhoria contínua dos processos e controles internos – benefícios saúde e odonto;- Execução de ações de curto e médio prazos (quick wins) para redução dos custos assistenciais e sinistralidade;- Responsável pela área Comercial (prospecção, negociação, suficiência e cadastro) com mais de 4.500 prestadores disponíveis atendendo aprox. 45.000 beneficiários no estado de São Paulo;- Responsável pela área de Pagamento a Rede Credenciada (processamento de contas, faturamento e recursos de glosas) com uma média mensal de R$ 35M;- Responsável pela regulação e auditoria técnica (própria e terceirizada), guias, documentações, análise de contas e compras de alto custo garantindo o cumprimento dos prazos da ANS;- Responsável pela implantação da nova Operação de Saúde (regulação e processamento de contas - BPO) em São Paulo, Curitiba e Belo Horizonte, utilizando metodologias PMI, Lean Manufacturing e incorporação de tecnologias;- Forte interação com TI nos projetos de melhoria de sistemas e implantação da nova Operação de Saúde, utilizando Métodos Ágeis com entregas de valor agregado priorizadas;- Responsável pelo mapeamento dos processos da área, realização de projetos de melhoria contínua e implantação de painel de indicadores para acompanhamento assistencial / operacional e tomada de decisão;- Responsável pela implantação e acompanhamento dos indicadores assistenciais, financeiros e de qualidade da área;- Elaboração e atualização de instrumentos administrativos e procedimentos operacionais da área;- Participação no Projeto de Remodelagem dos Novos Planos de Saúde e migração de Operação;- Liderança de equipe com 30 pessoas.

    • United States
    • Retail Office Equipment
    • 700 & Above Employee
    • CI & Project Manager
      • Jul 2013 - Sep 2015

      - Responsible for the value chain analysis and continuous improvement of Grainger Brazil processes;- Creating a project and process office based on the methodology of Grainger International;- Benchmarking of internal processes and methodology with Grainger USA, Mexico and Colombia;- Development of templates of policy areas and internal procedures;- Responsible for the restructuring of the GBR business strategy for 2015, 2016 and 2017 – before shutdown;- Responsible for value stream mapping (VSM) and business process management (BPM);- Continuous improvement based on six sigma and lean manufacturing;- Quality tools for process improvement and problem solving (PDCA, 5S, FMEA, fishbone, cause & effect diagram);- Strong interaction with IT in improvement projects creating a business integration structure;- Responsible for understanding and specification of business rules to develop new systems that optimize the administrative processes of Grainger Brazil and supply chain;- Development of a workflow system for contracts approval;- Responsible for the analysis of 5 scenarios for strategic decision of the new operating supply chain – 3PL in Barueri (planning and implementation);- Continuous improvement project focused on productivity, quality and costs on the DC Barueri (35,000 SKU's);- Value stream customer orders processing - improvement in sales orders, purchasing, inbound and outbound;- Kaizen customer service - improving service levels, customer service and application of quality and productivity KPIs;- Lean manufacturing training before continuous improvement and kaizen;- Reporting directly to Grainger Brazil CEO and matrix to SR CI Manager, Latin America.

    • Brazil
    • Health, Wellness & Fitness
    • 700 & Above Employee
    • Process Coordinator
      • Jan 2012 - Jun 2013

      - Responsible for improving processes of the executive finance board and strategic areas (order to cash) - focus on billing process (SP, RJ, RS, PR, BA and PE);- Interface with the strategic areas: commercial, sales, register, business, service and logistics;- Implementation of operational KPIs and elaboration of monthly management reports to the board;- Strategic planning for deployment of the executive board goals (creation of the balanced scorecard);- Implementation of a processes and management information area to control all the operations;- Mapping and standardization of processes with improvement in operational flows and creating action plans;- Continuous improvement based on six sigma and lean manufacturing;- Quality tools for process improvement and problem solving (PDCA, 5S, FMEA, fishbone, cause & effect diagram);- Strong performance in restructuring, integration and standardization of processes in corporate companies;- Improvement systems projects / interface with IT (functional specifications, approvals, testing, scenarios etc.);- Participation in the implementation of the new version of SAP (AS-IS and TO-BE);- Focal point in improvement projects of board processes (strategic and high-impact projects);- Procedures, guidelines and monitoring of internal and external audits;- Team management (around 40 people).

    • Brazil
    • Banking
    • 700 & Above Employee
    • Continuous Improvement Project Analyst
      • Oct 2008 - Dec 2011

      2011 Sr. CI analyst- Responsible for the tax superintendence processes improvement (map tax bill payments, earnings report, tax returns and DIRF);- Development of KPIs in tax management;- Value stream mapping and identification of critical processes partnering with managers;- Coaching projects of tax superintendence processes improvement (5 projects working on with 5 analysts);- Continuous improvement based on six sigma and lean manufacturing;- Quality assurance (PDCA, 5S, FMEA, fishbone (Ishikawa) - cause & effect diagram etc.);- Development of an operational control in order to reduce errors in the generation of earnings report (finance x product areas x finance IT x products IT);- Responsible for the creation of schedules, internal controls and weekly reports; 2009 to 2010 Pl. CI analyst- Responsible for merger / integration of Itaú and Unibanco (integration of processes and systems);- Mapping processes of the executive finance, legal and operational board;- Continuous improvement based on six sigma and lean manufacturing;- Quality tools for process improvement and problem solving;- Focal point in the Fluir Project (Tax vs. Product areas);- Responsible for the creation of schedules, internal controls and weekly reports;- Database extraction and development of KPIs; 2008 Jr. CI analyst- Development of functional specifications for the improvement of tax and legal systems;- Intermediation of projects between the customer and IT, attending and ensuring the specified requirements;- Development of project management methodology;- Creating a project office based on PMI (project management institute);- Responsible for developing, monitoring and analyzing the monthly KPI's of project management area.

    • Switzerland
    • Tobacco Manufacturing
    • 700 & Above Employee
    • Logistics Project Analyst
      • Apr 2006 - Sep 2008

      - Responsible for planning, executing and controlling logistics projects on the distribution centers;- Participation of picking semi-automation project in CD Barueri;- Support to supply chain, operations and logistics distribution;- Identification of improvement opportunities, synergies and optimizations on the logistics process;- Follow-up, approvals and financial viability of the logistics projects;- Responsible for planning and executing projects of sales offices and distribution centers deployment;- Adequate infrastructure and preventive maintenance;- Development and monitoring of an environmental management plan;- Planning and control of the logistics budget.

    • Luxembourg
    • Mining
    • 700 & Above Employee
    • Trainee
      • May 2005 - Dec 2005

      - Responsible for reducing spending on consumables (direct and indirect) at skin-pass sector;- Responsible for ensuring and perpetuating the profit of € 50k on the consumables skin-pass sector;- Responsible for establishing the consumable production cost;- Responsible for the consumables flow as well as its management considering key technical parameters;- Responsible for mapping processes and creating action plans.

Education

  • Universidade Federal de São Carlos
    Curso de Especialização em Gestão da Produção, Project Management
    2006 - 2008
  • Institut national des Sciences appliquées de Lyon / INSA Lyon
    Engenharia Industrial, Industrial Engineering
    2005 - 2005
  • Universidade Federal da Paraíba
    Engenharia de Produção Mecânica, Engineering
    2000 - 2006

Community

You need to have a working account to view this content. Click here to join now