Medical Manager -KSA MedNet Global Healthcare Solutions LLC Posted on September 5, 2019 2 - 3 years Jeddah - Saudi Arabia Any Graduation. Any Nationality Send Me Jobs Like This SEND Alert Set Successfully Opening 01 Job Description EMAIL JOB SEND Email sent successfully. SHARE JOB ForMedNet KSAMedNet KSAis one of the leading managed care service organizations that caters tohealthcare needs and offers financial protection against unforeseen healthrisks. We are currently seeking to hire a Medical Manager with the followingtasks and responsibilities:Your Job:• Manage the effective achievement of the medicaldepartment objectives through setting individual objectives, managingperformance, developing staff and providing formal and informal feedback inorder to maximise overall performance and team motivation.• Prepare and recommend the department budget andmonitor financial performance versus the budget so that the business is awareof anticipated costs/ revenues, and areas of unsatisfactory performance areidentified, rectified promptly and potential performance improvementopportunities are capitalised upon• Plan and manage the overall operations of themedical department in order to ensure achievement of optimum customersatisfaction with the medical review services in accordance with establishedquality parameters and Munich Health policies and procedures• Lead and manage the effective evaluation ofin-hospital cases in respect of medical necessity and appropriateness andprovide approval of benefits as per the policy wordings and based on medicalpoint of view.• Lead and manage the effective evaluation ofoutpatient claims authorization in respect to the medical necessity andappropriateness and check them in the system to ensure adherence to policyguidelines.• Ensure effective communication with insurancecompanies concerning the policy coverage issues and ensure prompt provision ofsolutions in accord with established corporate policies and guidelines.• Ensure functional relationship between internaldepartments to work well via claims evaluation and authorisation and high levelof communication and efficient & timely transfer of information takes placeduring operations.• Recommendimprovements to departmental policy and manage the implementation of proceduresand controls covering all areas of claims review, evaluation and approval activityso that all relevant procedural requirements are fulfilled while delivering aquality, cost-effective serviceYour Profile:• Medical degree from a school recognised by theWorld Health Organisation (WHO)• 6 years in a similar environment in the TPA /medical insurance sector as well as 2 years of managerial experience,preferably in the Gulf region.• Knowledge of all local market related healthsystem• Knowledge of local insurance laws ®ulations.• Understanding of the insurance principles,business models• Structured, analytical and results orientedapproach• Attention to detail• Ability to operate effectively with people atall levels of the business. Company Industry Insurance Department/Functional Area Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research Keywords Medical Manager -KSA REPORT THIS JOB Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information.We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at email@example.com People Looking for Medical Manager Jobs also searched Medical Manager Jobs Medical Jobs Medical Insurance Jobs TPA Jobs Healthcare Jobs Business Modeling Jobs Insurance Law Jobs MedNet Global Healthcare Solutions LLC View Contact Details Contact Name/ Designation: - Website https://mednet.referrals.selectminds.com/jobs/medical-manager-ksa-125 Additional Information Required Employer has requested some additional information along with your application for this job Cancel Login to Naukrigulf Continue using GOOGLE FACEBOOK All your activity will remain private or Forgot Password?