الوصف الوظيفي
• Provide case management for complex and/or high value cases and report progress weekly to head office.
• Discuss member treatment plan with the treating medical team and audit treatment costs/invoices to ensure maximum cost containment.
• Develop and maintain relationships with key clients and provide support to member families where required.
• Provision of Treatment Guarantees to members in accordance with the identified procedural guidelines.
• Support the department’s efforts to achieve cost containment and achievement of the targeted loss ratio.
• Assist with the maintenance and expansion of the panel of medical providers. This includes the development of financially advantageous contractual relationships with these providers. The emphasis will be upon delivering competitive volume pricing, procedure pricing, package pricing, fixed discounts expressed as a percentage of the final bill etc.
• Assist with the development of a panel of clinicians in locations justified by concentrations of beneficiaries.
• Ensure that all existing operating service standards are consistently met and devise strategies to improve these further.
• Develop and maintain good working relationships with all departments and support them according to their needs.
• The role will involve substantial collaboration with the following departments: Claims, Helpline and remote offices.
• Any other ad hoc projects and administrative tasks as and when required
المهارات
• Minimum 5 years of clinical experience and at least 2 years of experience in an insurance set-up
• Excellent interpersonal skills with demonstrated ability to communicate effectively and influence at all levels.
• Must be a self-starter and able to multi task.
• Ability to work independently and as part of a team.
تفاصيل الوظيفة
منطقة الوظيفة دبي, الإمارات العربية المتحدة
قطاع الشركة التأمين
طبيعة عمل الشركة صاحب عمل (القطاع الخاص)
الدور الوظيفي الطب والرعاية الصحية والتمريض
نوع التوظيف دوام كامل
الراتب الشهري $3,000 - $4,000
عدد الوظائف الشاغرة 1
الرقم المرجعي للوظيفة JB3792674
المرشح المفضل
المستوى المهني متوسط الخبرة
عدد سنوات الخبرة الحد الأدنى: 2
منطقة الإقامة الشارقة,الإمارات العربية المتحدة ; دبي,الإمارات العربية المتحدة ; عجمان,الإمارات العربية المتحدة
الجنس ذكر
الشهادة بكالوريوس/ دبلوم عالي
العمر الحد الأدنى: 25 الحد الأقصى: 40
https://www.bayt.com/ar/uae/jobs/medical-service-case-management-doctor-3792674/
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