Medical Cost Optimization Manager - #25406

Intelligent Solutions HR Consultancy

Date: 1 week ago
City: Abu Dhabi
Contract type: Full time

Job Description

General Overview:

Our client, a leading Insurance company is looking to hire a Medical Cost Optimization Manager to join their team in the UAE. The successful candidate will be responsible for developing and implementing new cost-optimization initiatives that complement the organization's strategic initiatives.

Key Responsibilities:

  • Develop business case analyses for new cost optimization initiatives.
  • Refine the outlier methodology for identifying waste and abuse by studying the market distribution and patterns using density and time series analysis.
  • Develop reports on providers, clinicians & members' utilization behaviors to identify trends/patterns.
  • Measure the impact of ongoing and completed Cost Optimization initiatives.
  • Develop, run, update, and maintain scripts for behavioral interventions.
  • Develop Dashboards using Power BI to support the management in decision-making.
  • Liaise with various stakeholders and provide ad-hoc reporting to complement the regulator-driven directives into strategic initiatives.
  • Manage the inter-departmental CRM process of warning and delisting providers when necessary.
  • Identify and collect all corporate cost containment initiatives into one master plan and follow up with initiative owners on the status.
  • Participate in preparing presentations for the Cost Containment Steering Committee and record minutes of meetings.
  • Understand the organization's strategy and enable managers to make informed, fact-based decisions.
  • Participate in the planning and organizing of cost optimization activities.
  • Promote a culture of root-cause inquiry and evidence-based decision-making.
  • Develop distinctive expertise in understanding components and drivers of medical inflation.


  • Strong analytical skills.
  • Excellent written & verbal communication skills.
  • Proefficient with MS Office & Power BI.




    Abu Dhabi


    Abu Dhabi


    United Arab Emirates

    Postal Code


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