Vice President, Domestic Contracting Dubai and Northern Emirates - #49009

Daman


Date: 3 weeks ago
City: Abu Dhabi
Contract type: Full time
Vice President, Domestic Contracting Dubai and Northern Emirates Job Description

Role Purpose
Overarching duties as a Daman leader:
  • Develop/implement department strategy following Daman's strategy, set departmental and operational goals, and initiate measures to reach goals and improve overall department performance.
  • Lead performance management process that evaluates progress against departmental goals
  • Responsible for result-oriented management and development of people and resources, incl. the provision of strong day-to-day leadership presence involving resource allocation, monitoring, reporting, and conducting regular staff meetings.
  • Foster organizational culture by establishing quality awareness and service orientation and complying with and implementing processes such as Project Management and Change Management
  • Promote recruitment and development of UAE Nationals to contribute to Daman's strategic goals
  • Lead the development, implementation, and adherence of policies and procedures.

Department specific:
  • Conduct market research and provide useful insights and information regarding market competitors and customers to support business decisions.
  • Manage contracting with Dubai and Northern Emirates healthcare providers to meet network targets and financial goals and build up the provider network and determine the provider mix and distribution.
  • Work with appropriate internal departments to manage Dubai and Northern Emirates provider's reconciliation to meet Daman's goals.
  • Lead the negotiation with Dubai and Northern Emirates providers to obtain optimum services, prices, and terms of payment.
  • Evaluate needs for Dubai and Northern Emirates providers (additions/deletions) to determine the best mix and distribution of providers.
  • Prepare required communications such as circulars and instructions to Dubai and Northern Emirates Providers for updates of policies and processes.
  • Ensure data management functions are completed accurately and timely.
  • Review/monitor statistical data regarding the performance of Dubai and Northern Emirates providers (Provider Profiling)
  • Evaluate escalated complaints regarding providers to ensure proper reaction and timely resolution.
  • Set plans, suggest, and implement projects to develop Dubai and Northern Emirates provider's work methods (e.g. provider manual)
  • Liaise with the regulators in Dubai and Northern Emirates as required
Key Requirements and Qualifications
  • 8+ years of related experience; 5 years of which must be in a management or supervisory position.
  • 5+ years of experience in provider relations or equivalent.
  • Experience working on data analysis or in data-oriented management.
  • Experienced in negotiation and conducting presentations.
  • Recognised coding certification is preferred.
  • Bachelor's degree in any field; degree in medical or any health-related field is preferred.
  • Masters' degree is a plus.
Skills and Competencies
  • Dynamic, self-driven with strong business understanding and background.
  • Strategic thinking with a strong focus on results and high-quality work.
  • Very good leadership skills including people management, selection, and development skills.
  • Very good command of written/spoken English; knowledge of Arabic language is an added advantage.
  • Very good analytical, planning, forecasting, execution, and problem-solving skills.
  • Strong level of customer service orientation and professionalism in all interactions.
  • Very good communication, negotiation, and presentation skills.
  • Broad knowledge of health insurance concepts.
  • Experienced in managing a multi-cultural environment and promoting teamwork and knowledge sharing to achieve goals and deliverables.
  • Flexibility to travel as needed.
  • In-depth knowledge of claims cost and coding structure to steer the quality of coding.
  • Up-to-date medical knowledge is preferred.
  • Technical knowledge concerning relevant regulations and procedures
Job ID 300000274993851

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