Medical Advisor
NEXtCARE, Jumeirah.
منذ 3 يوم

Key Responsibilities

  • Conduct medical review of cases received for Pre-authorization
  • Support the Medical Team in the evaluation of medical appropriateness of treatment
  • Provide medical advice / knowledge to colleagues in the medical department
  • Carry out case management of complex cases and practice cost containment
  • Perform Medical auditing of In-patient and Out-patient medical claims
  • Prepare and provide case and medical training for the medical department, in collaboration with the medical team trainer
  • Support the medical department s efforts to achieve cost containment and achievement of the targeted loss ratio
  • Other Ad hoc duties as operationally required
  • Experience Required

  • Qualified Registered General Nurse
  • Experience within a medical insurance provider or within the management function of a medical provider
  • Strong knowledge of Microsoft Office (Excel, Word), ICD , CPT coding and regulatory knowledge of HAAD , DHA
  • Completion or progression towards the Diploma in Private Medical Insurance or relevant certification
  • Behavioural Competencies

  • Strong communication (verbal and written) and interpersonal skills
  • High attention to detail
  • Highly motivated and proactive
  • Ability to work on numerous tasks with multiple departments
  • قدِّم طلب ترشيحك
    بريدي الالكتروني
    بالضغط على "واصل" ، أعطي موافقة نيوفو على معالجة بياناتي وإرسال تنبيهات إلي بالبريد الإلكتروني ، على النحو المفصل في سياسة خصوصية لـ نيوفو . يجوز لي سحب موافقتي أو إلغاء الاشتراك في أي وقت.
    استمارة الطلب