Loading
Loading...
Loading...
Loading...
Loading...

Menu - [Jump to main content]


89 People have applied

Closed or Expired Job Posting This job posting is closed or has expired and is no longer open for applications.

Print

Creation Date: 2018/08/16 11:44:52
Ref. JB1001852634

National Health Insurance Company - Daman

Medical Provider Relations Officer (UAE National)
National Health Insurance Company - Daman


Job Description

•Responsible for all aspects of participation in contracting with the assigned providers
•Implement strategies to accurately determine the cost of the provider to Daman
•Ensure that all negotiations are in line with Daman’s pricing targets, optimum services and payment terms
•Carry out procedure code mapping for the contracted services with the healthcare providers as needed
•Review provider dashboards and quality reports to measure provider performance and utilisation
•Prepare weekly action plan in managing assigned providers and provide update / status reports to the superior
•Ensure that the agreed terms are properly implemented and documented
•Schedule and perform provider site visits according to specific needs
•Provide education and training on Daman Provider Manual, Provider Guide, Quality measures, and performance standards to all providers assigned
•Handle any issues that may arise from the providers and ensure that these are addressed and resolved in a timely manner
•Act as a resource in the department to handle any clinical related issues including but not limited to membership on clinical committees, evaluation of issues that require clinical specialised knowledge in specific clinical areas
•Act as point of contact in areas requiring professional advice on specific medical processes
•Attend clinical conferences, workshops or classes to ensure that knowledge base is current
•Promote knowledge sharing by providing training and sharing new information with colleagues, relevant in properly carrying out the department’s function
•Participate in special projects as may be assigned

Skills

•Good command of written and spoken English; knowledge of Arabic language is an advantage
•Good analytical, execution, problem solving and decision making skills
•Ability to acquire and apply new skills
•Flexible and able to work under pressure
•Flexibility to travel within the UAE
•Respect and maintain a high level confidentiality
•Proactive and results oriented whilst ensuring high quality of work
•Advance level of customer service orientation and professionalism in all interactions
•Able to work in 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
•Knowledge of claims cost and coding structure to steer the quality of coding is a plus
•Up-to-date medical knowledge is preferred
•Knowledge of contracting with health care providers, claims or billing is preferred
•Technical knowledge with respect to relevant regulation and procedures

Education

Medicine

Job Details

  • Search by Location: UAE
  • Search by Industry: Other
  • Requirements : Employer (Private Sector)
  • Job Role: Medical
  • Number of Vacancies: 1

Preferred Candidate

  • Career Level: Student/Internship
  • Years of Experience : Min: 1 Max: 3
  • Residence Location: United Arab Emirates
  • Nationality: United Arab Emirates
  • Degree: Bachelor's degree


Company Profile

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.

Print