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قام 125 شخص بالتقدم الى الوظيفة

إنتهت صلاحية هذا الإعلان الوظيفي لقد إنتهت صلاحية هذا الإعلان الوظيفي و هو غير مفتوح حاليا لأي طلبات عمل.

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تاريخ إنشاء الإعلان: 2017/11/26 04:30:43
الرقم المرجعي JB1001851750

National Health Insurance Company - Daman

Supervisor, Medical Authorisation
National Health Insurance Company - Daman


الوصف الوظيفي

Supervise the overall performance and functions of the processing unit and the day to day planning, operation and problem-solving of a team, offering creative solutions and ensuring productivity target with focus on quality.

Standard duties:
• Support in the implementation of quality awareness in delivering efficient and cost effective services
• Supervise and guide the team with the overall performance accountability of subordinates
• Conduct annual appraisals and support in setting individual development plan and targets of subordinates
• Support the unit head in ensuring appropriate staffing levels, conducting interviews and hiring of new staff
• Support in development, implementation and ensure adherence of policies and procedures

Department Specific:
• Maintain policies, procedures and protocols for medical pre-authorisation
• Manage a Medical Authorisation team by monitoring their attendance, productivity and output quality
• Monitor and motivate team members to achieve turn-around-time (TAT) of requests
• Conduct periodical quality audit on authorisation rejection letters based on department’s quality audit guidelines
• Attend to queries on issues/cases related to authorisation letters, medical coverage eligibility and other functions related to the department
• Ensure that his respective team is updated and well-informed with the latest Schedule of Benefits (SOB), circulars and guidelines
• Determine contingency plans in case of any business disruption and coordinate with BCM Coordinator
• Collect and escalate suspected fraud and abuse cases to Medical Investigation and Audit Department (MIAD) through the assigned system
• Conduct annual appraisal of the team based on individual set KPIs
• Provide development plans for employees’ professional and personal growth
• Provide action plans or measures to achieve a balance between inflow and outflow of requests by reviewing the department schedule and manpower availability
• Review and propose authorisation cases that can be referred to Case Management unit for review
• Continuously monitor and review pre-authorisation process in order to recommend enhancement with acceptable internal control measures to safeguard company’s assets, reputation and obligation
• Introduce basic authorisation process to new staffs based on his/her functions in the department and ensure that the new staff has undergone adequate training before assigning task

المهارات

• Good business understanding and background
• Good leadership skills including people management, selection and development skills
• Very good command of written and spoken English; knowledge of Arabic language is an advantage
• Very good analytical, planning, forecasting, execution and problem solving skills
• Ability to acquire and apply new skills
• Flexible and able to work under pressure
• Respect and promote trust and confidentiality
• Result-oriented whilst ensuring high quality of work and able to “think out of the box”
• Strong level of customer service orientation and professionalism in all interactions
• Able to manage a multi-cultural environment and promote teamwork and knowledge sharing in order to achieve goals and deliverables
• Good knowledge of health insurance concepts
• Good knowledge of Microsoft applications

الخلفية التعليمية

Bachelor Degree in Medicine

تفاصيل الوظيفة

  • منطقة الوظيفة: أبوظبي, الإمارات
  • قطاع الشركة: تأمين
  • المتطلبات : صاحب عمل (القطاع الخاص)
  • الدور الوظيفي: الإدارة
  • الحالة الوظيفية: دوام كامل
  • نوع التوظيف: دوام كامل
  • يتطلب إدارة موظفين آخرين: نعم
  • عدد الوظائف الشاغرة: 2

المرشح المفضل

  • المستوى المهني: متوسط الخبرة
  • عدد سنوات الخبرة : الحد الأدنى: 3 الحد الأقصى: 5
  • منطقة الإقامة: الإمارات العربية المتحدة
  • الشهادة: بكالوريوس


وصف الشركة

Daman provides affordable quality healthcare solutions to suit your needs
Specialized Health Insurance services with an emphasis on customer care
The market leader with experienced staff that you can rely on.

اطبع