Section Head, Medical Operations | Daman Health Jobs in UAE 2021

Section Head, Medical Operations | Daman Health Jobs in UAE 2021


Section Head, Medical Operations
Job: Full Time
Abu Dhabi, UAE

Employer Description
The National Health Insurance Company – Daman is the UAE’s leading health insurer and trusted Government partner, offering leading solutions that provide access to unparalleled healthcare services, covering around 2.5 million members  pioneer in health insurance. Daman is the first specialised health insurer in the UAE, with over 15 years of expertise and commitment

Job Description
We are looking for someone who can overarch the goals as one of the Daman’s leader

Responsibilities:

  • Ensure that all Medical Operations (Claims & Authorisation) related processing procedures and tasks are performed in a timely, accurate and efficient manner and meet all regulatory requirements
  • Attend to queries on issues/cases related to Authorisation/Claims letters, medical coverage eligibility and other functions related to the unit
  • Observe the compliance of Claims/Authorisation processors on the latest Schedule of Benefits (SOB), circulars and guidelines through supervisors’ quality audit report
  • Escalate suspected fraud and abuse cases to Medical Investigation and Audit Department (MIAD) through the respective system

Requirements:

  • Hold a Bachelor’s degree in Medicine
  • Master’s degree in healthcare / health insurance / health economics or business management is a plus
  • Certification in medical coding systems is a plus
  • Has extensive experience in using and developing tools, concepts and strategies that exploit new business opportunities

For more details, please scroll down & see the details.

Daman Health 

TitleSection Head, Medical Operations | Daman Health Jobs in UAE 2021
Hiring OrganizationDaman Health
Job LocationAbu Dhabi, UAE
Date PostedSep/21/2021
Base SalaryAED
Employment TypeFull Time
Valid UntilSep/25/2021

Daman Health Jobs Sep 2021

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