عربي

الصفحة الرئيسية وظائف في الامارات وظائف مديرين فى الامارات مدير طبي

Medical Assitant Manager- MCU

MedNet Global Healthcare Solutions LLC

تم نشره يوم 15 فبراير 2021

2 - 7 سنوات United Arab Emirates - United Arab Emirates

بكالوريوس طب وجراحة (الطب). أي جنسية

عدد الشواغر 01

الوصف الوظيفي

ايميل الوظيفة
تم إرسال البريد الإلكتروني بنجاح.


For MedNet UAE.
As a member of Munich Re the MedNet Group is a leading Third Party Administrator across the MEA region. We are currently seeking to hire a Medical Assistant Manager- Medical Care Unit with the following tasks and responsibilities.
Your Role:
Plan and manage the overall operations of the medical department in order to ensure achievement of optimum customer satisfaction with the medical review services
Le ad and manage the effective evaluation of in-hospital cases and outpatient claims in respect of medical necessity and appropriateness
Provide overall guidance and leadership to the medical team in terms of authorization activities, claims review, evaluation and as well as ensuring compliance with established policy guidelines
Manage and maintain a standardized procedures for pre-authorization, utilization review, case management, discharge planning and related medical management tools in accordance with corporate policies and guidelines
Approve medical authorization requests (as per delegated authority) if they comply with all stipulations and lead the medical auditing process and signing of all inpatients claims.
Ensure effective communication with insurance companies concerning scope of coverage issues and ensure prompt provision of solutions in accord with established corporate policies and guidelines
Ensure effective management of calls and follow up calls on medical authorization to ensure adherence to established procedures
Direct the team in issuing chronic medications as per internal guidelines and policy terms and conditions, ensure medical underwriting is performed according to Munich Re guidelines
Your Profile :
M edical degree from a university recognised by the World Health Organisation (WHO)
Minimum 5-7 years experience of medicine practice of which is at least 3 years in TPA / medical insurance sector as well as 2 years of managerial/supervisory experience
Knowledge of concepts of medical insurance
Excellent interpersonal skills and ability to communicate and work effectively with all levels of the organisation
Strong acumen and leadership skills as well as quality results oriented
Good negotiation and problem-solving skills
Good knowledge of Microsoft applications
Fluency in business English
*Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer.


الكلمات الرئيسية

Medical Assitant Manager- MCU

ابلاغ عن هذه الوظيفة

تنبيه: نوكري غلف فقط منصّة يجمع بين كل من الباحثين عن عمل و أصحاب العمل. ننصح المتقدمين للوظائف التحقق من شرعية أصحاب العمل المحتملين. نحن لا ندعم أي مطالبات لتحويل الأموال و ننصح بشدة ضد الإفصاح عن اي معلومات شخصية أو مالية.و ننصح أيضا زيارة تحذير أمني للمزيد من المعلومات. إذا تشك في أي غش أو احتيال اتصل بنا على abuse@naukrigulf.com

MedNet Global Healthcare Solutions LLC


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موقع الكتروني https://mednet.referrals.selectminds.com/jobs/medical-assitant-manager-mcu-234


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