Senior Officer - Funder Relations

NMC Healthcare is one of the largest private healthcare networks in the United Arab Emirates. Since 1975, it has provided high quality, personalised, and compassionate care to its patients and is proud to have earned the trust of millions of people in the UAE and around the world.

NMC’s network is made up of 85 medical facilities, including JCI-accredited multi-specialty hospitals, medical centres, community clinics, day surgery centres, fertility clinics, home health services, and long-term care facilities. It employs over 12,000 people and serves over 5.5 million patients every year.

Job Summary:

To support the Funder Relations team in managing the relationships with insurance companies and third-party payers, ensuring efficient communication, documentation handling, and resolution of operational and reimbursement issues in accordance with NMC policies and UAE health regulations

Key Responsibilities:

• Assist in coordinating communication between NMC and insurance/corporate companies/funders regarding contract, contract terms, facility empanelment addition, deletion, NMC bank accounts, doctor profile, new service addition and price revision etc.,
• Support the resolution of claim rejections, short payments, and pre-authorization issues by liaising with internal stakeholders and payers.
• Support the resolution of price revision updates by liaising with internal stakeholders (IT) and payers.
• Maintain up-to-date records of funder correspondence, contract registers, and key account documentation.
• Monitor funder response times and escalate delays to the Funder Relations Manager.
• Help track funder performance indicators (e.g., claim acceptance, turnaround time, denial rates).
• Schedule and coordinate meetings between NMC management and funder representatives.
• Prepare reports and summaries related to funder activity and performance for review by senior management.
• Collaborate with revenue cycle, billing, coding, and clinical teams to resolve funder-related issues impacting revenue realization.
• Ensure compliance with DHA/DOH regulations regarding insurance and third-party administration.

Education and Certification:

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.

Knowledge and Skills:

• 2–4 years of experience in payer relations, healthcare revenue cycle, or managed care within a hospital or multi-facility provider.
• Solid understanding of UAE healthcare insurance landscape
• Working knowledge of claims processes, CPT/ICD coding, denial management, and reimbursement policies.

Experience:

• Experience with hospital information systems (HIS), claims platforms, or EMR software is a plus.