Manager – Home Healthcare, Laboratory & Imaging
Bupa Arabia
Date: 1 day ago
City: Al Khobar
Contract type: Full time
Job Description
To improve the medical-service lines (virtual consultations, home-based care, labs & imaging) to deliver safe, cost-effective and patient-centred outcomes aligned with the growth strategy.
Home Healthcare Services
MBBS
To improve the medical-service lines (virtual consultations, home-based care, labs & imaging) to deliver safe, cost-effective and patient-centred outcomes aligned with the growth strategy.
Home Healthcare Services
- Implement evidence-based care protocols to improved healthcare outcomes.
- Define and communicate chronic / nonchronic care programs and cost-effectiveness goals with internal stakeholders.
- Manage all home healthcare services with partnered providers to assess the requiredhome healthcare service
- Track patient journey end to end and release reports to conitune the service cycle for medicatoin delivery or SAT referrals.
- Adjudicate home healthcare services according to the policy and TOB.
- Communicate with members oon all touchpoints support and resolve their cases.
- Coordinate with home healthcare services and TPAs to provide medical requirements for members
- Collaborate with providers for future medical services for patient medical journey progress
- Analyse data to track services performance and provide regular reports on progress
- Suggest data-driven decisions to optimize service effectiveness
- Liaise with stakeholders at providers to ensure quality healthcare service for members
- Check outbound calls for follow up cases with members
- Resolve member requests received through inbound calls
- Maintain and update a tracker for all member issues raised
- Follow up on active cases to ensure optimal members recovery, referrals, and case resolution
- Update medical reports, provider acceptances of patients upon completion of their medical journey
- Maintain a database for treating physicians in home healthcare facilities for service delivery review for customer experience.
- Communication Skills
- Service Delivery Skills
- Bachelor’s Degree
- Master’s Degree is an advantage
- Certified Medical doctor is an advantage
- Clinical experience background
- Quality Management
- Experience in Insurance Industry
- Experience in Case Management
- Experience in Project Management
- Professional exposure in US/Europe/Canada preferred
MBBS
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