GAFM® Professional Certification

MGCC — Governance Maturity in Health Plans

The global GAFM® certification for those who structure and assess corporate governance in health plan operators — ANS Normative Resolution 443/2019, Law 9,656/1998, IBGC Code, COSO ERM, and LGPD.

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● Listed in the FINRA Professional Designations Database● ISO 9001 · ISO 29990● Verifiable at GAFM.org
MGCC Program · What is included
Months of access to the program
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Official study manual (6 modules)
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Cases in the Decision Guide
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Requirements in the Evidence Guide
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Minimum passing score
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Q&A chat with a GAFM® Specialist throughout the preparation period.
The GAFM difference

Why this certification matters

Proprietary maturity methodology

6 criteria with a 0 to 5 maturity scale, covering governance structure, risk management, compliance, audit, member/stakeholder relations, and clinical governance.

Anchored in ANS regulation

RN 443/2019, RN 517/2022, IN 57/2021, and supplementary regulations — certified professionals know how to translate regulation into auditable governance practice.

GAFM's dual ISO standard

GAFM was the world's first financial certification body to simultaneously obtain ISO 9001 (quality) and ISO 29990 (training and education) certifications. Credentials verifiable online at GAFM.org.

Roles

The roles you assume in the simulation

In each round, you make decisions from a different role, with corresponding levels of responsibility.

Governance, Risk, and Compliance Analyst
Evidence collection and technical diagnosis of MGCC criteria.
MGCC Assessment Committee Coordinator
Managing the self-assessment cycle and prioritizing improvements.
Health Plan Operator Executive Director
Strategic decision-making and accountability to the board.
Board Member or Committee Member
Governance oversight and approval of action plans.
Certification syllabus

The twelve chapters

1. Corporate governance: theory, purpose, and healthcare specificity
Fundamentals applied to the private healthcare sector.
2. The ANS regulatory environment
Institutional design of the operator from a regulatory perspective.
3. The MGCC methodology
Criteria, maturity scale, evidence, and assessment cycle.
4. Criterion 1 — Governance Structure
25 points: board, committees, and decision-making structure.
5. Criterion 2 — Risk Management, Solvency, and Internal Controls
20 points.
6. Criterion 3 — Compliance and Integrity
15 points.
7. Criterion 4 — Audit and Transparency
15 points.
8. Criterion 5 — Relations with Members and Stakeholders
15 points.
9. Criterion 6 — Sustainability and Clinical Governance
10 points.
10. Evidence, quality responses, and improvement projects
How to structure evidence that withstands assessment.
11. Conducting the certification cycle in the operator
Managing the self-assessment and certification process.
12. Preparing for simulations and the exam
How to prepare for the simulator and the final exam.
What is included

Four months of preparation

  1. 01
    Technical materials

    Study Manual, Decision Guide, and Evidence Guide for the MGCC certification, available in protected reading on the platform.

  2. 02
    Deliberate practice

    Unlimited access for 4 months to the simulator: 50 situations across 5 complexity phases, with individualized executive feedback.

  3. 03
    Ongoing support

    Direct channel with the GAFM® technical team throughout the study period.

  4. 04
    Executive mentorship

    Individual 30-minute online session with a GAFM® specialist, scheduled whenever it is most strategic for you.

Your GAFM® Certification in Health Plan Governance begins now

Final exam scheduled at the end of four months, with a verifiable digital badge for those who pass.