Chief Health Officer

2 weeks ago


المملكة العربية السعودية, Saudi Arabia B7 Consultancy Full time

REPORTS TO
:
CEO
| TEAM SIZE
:96 ( 4 Direct report, 92 indirect)

JOB PURPOSE:


To lead the development and implementation of the strategic plans and operational objectives of the Health and Life claim business unit.

Ensuring operational integrity and compliance with quality standards and applicable regulations and legislation across claims activities, thus contributing to the achievement of the company's strategic business goals, while ensuring excellent service delivery, client satisfaction and experience while ensuring sustainable profitability to the company.


Key Activities, Responsibilities and Accountabilities

Strategic Contribution:

  • Lead to the development and refinement of the company's overall strategy and ensure that Health Claims strategic plans are developed and implemented in line with company's vision, mission and corporate objectives.
  • Ensure that the strategy is translated into operational business plans for the Health Claims Division and monitor the performance and execution of those plans in order to achieve functional and corporate objectives.

Leadership:

  • Build and lead a motivated, engaged and competent team in the Health Claims Division, by setting priorities and objectives, managing performance, and providing ongoing feedback and coaching to meet the organizational unit's challenges and goals.
  • Serve as a role model to ensure employee awareness of and commitment to company vision, mission, values, fundamentals and corporate strategy.
  • Manage performance, recruitment, development, and motivation of employees in order to maximize individual and functional performance, with a particular focus on the development of Saudi talent.
  • Ensure training and development needs of Health Claims Division are addressed to ensure highlevel of competence within the team.

Operational:

  • Oversee the health claims approval process to ensure it is time efficient and effective in order to maintain client satisfaction, while monitoring compliance with regulations, contractual agreements and applicable legislation.
  • Oversee the health claims reconciliation activities to ensure that service providers are abiding to contractual agreements and review financial evaluation of claims to ensure costefficient and satisfactory settlement of claims.
  • Ensure that the processing of health claims is efficient and effective to provide patients with the best health and medical coverage in the most cost effective and timely manner.
  • Ensure that life claims are being settled with beneficiaries, in line with the company policies and procedures.
  • Oversee and manage the reconciliation process with service providers as necessary to ensure claims are being settled in a costefficient manner.
  • Oversee the quality control operations and establish best practice control measures to identify and detect fraud. As well as review the development of policies and procedures addressing necessary countermeasures to be undertaken in cases of fraud detection and that relevant mitigation processes are in place to minimize risk of fraud.
  • Build and maintain strong relations with network management providers domestically and internationally and drive negotiations and contractual agreements to maximize market reach and optimize customer care, customer experience and cost efficiency.
  • Drive continuous improvement of customer experience by ensuring that the care delivery unit effectively addresses customer inquiries and complaints in close collaboration with call centers, brokers and sales representatives.***
    Compliance and Dispute Settlement:
  • Oversee internal and external compliance processes to ensure alignment and adherence to the regulatory requirements.
  • Ensure a robust investigation process is in place to identify and address malpractice, misconduct, and fraudulent activity, provide recommendation measures when needed in line with relevant laws and regulations and ensure effective and timely reporting of incidents.

Business Development:

  • Drive internal engagements and cooperation between various departments (underwriting, finance, etc.) to ensure alignment and to enhance synergies, contributing to improvement of efficiency and service delivery.
  • Oversee the identification and sourcing of new targeted local and international network providers to expand the national, regional and international network and increase market share, customer reach and competitiveness.

Budgeting:

  • Prepare financial plans and budget for the Health Claims Division.
  • Ensure, as a P&L owner of the Health Claims Division, that optimal financial results are achieved for continuous growth and sustainable profitability of the company.

Continuous Improvement:

  • Identify areas of opportunities for continuous improvement of systems, processes and procedures taking into account leading practices, cost reduction and optimized productivity.

Policies, Systems, Processes & Procedures:

  • Lead the

  • Chief Officer

    5 days ago


    المملكة العربية السعودية, Saudi Arabia Atlas Professionals Full time

    Are you a Chief Officer DPO with excellent leadership abilities? Please keep reading! Atlas Professionals is looking for an Chief Officer DPO on a SSCV, Semi-Submersible crane vessel for (3 weeks). **Job description**: The duties of a chief officer include: - Assisting the captain - Navigate - Managing the deck crew **Job requirements**: - Opito Basic...

  • Chief Officer

    2 months ago


    المملكة العربية السعودية, Saudi Arabia SEACOR MARINE Full time

    Seeking a Chief Officer (C/O) to join Self Propelled Lift Boat in Saudi Arabia. **Requirements**: - Valid Chief Officer license and Marlins Test from approved test center - Strong leadership and communication skills - Ability to work well under pressure and in a team environment

  • Chief Officer

    2 weeks ago


    المملكة العربية السعودية, Saudi Arabia SEACOR MARINE Full time

    Seeking a Chief Officer (C/O) to join Self Propelled Lift Boat in Saudi Arabia.Requirements: Valid Chief Officer license and Marlins Test from approved test center Strong leadership and communication skills Ability to work well under pressure and in a team environment

  • Chief Officer

    2 weeks ago


    المملكة العربية السعودية, Saudi Arabia Atlas Professionals Full time

    Are you a Chief Officer DPO with excellent leadership abilities? Please keep readingAtlas Professionals is looking for an Chief Officer DPO on a SSCV, Semi-Submersible crane vessel for (3 weeks).Job description:The duties of a chief officer include:Assisting the captain Navigate Managing the deck crewJob requirements: Opito Basic Offshore Safety Induction...

  • Chief Officer

    3 weeks ago


    المملكة العربية السعودية, Saudi Arabia Atlas Professionals Full time

    Looking for a temporary job as Chief Officer in Saudi Arabia? Atlas Professionals in Odesa, Ukraine is always looking for new Offshore Marine professionals. At the moment we have a vacancy for the position of Chief Officer. **Job description**: AHT non DP Start 15/02 Rotation 6 x 6 or 6 x 3 weeks Area Saudi Arabia. ARAMCO ** Job requirements**: 720 days...

  • Chief Officer

    2 weeks ago


    المملكة العربية السعودية, Saudi Arabia Atlas Professionals Full time

    Looking for a temporary job as Chief Officer in Saudi Arabia? Atlas Professionals in Odesa, Ukraine is always looking for new Offshore Marine professionals. At the moment we have a vacancy for the position of Chief Officer. Job description: AHT non DPStart 15/02Rotation 6 x 6 or 6 x 3 weeksArea Saudi Arabia. ARAMCO Job requirements: 720 days of documented...


  • المملكة العربية السعودية, Saudi Arabia Global Retail Recruitment Full time

    We are retained to source an experienced Commercial Director to step up to the position of Chief Commercial Officer for this expanding retailer in the GCC. You will of course have excellent leadership, communication, strategic and business planning skills.


  • المملكة العربية السعودية, Saudi Arabia Global Retail Recruitment Full time

    We are retained to source an experienced Commercial Director to step up to the position of Chief Commercial Officer for this expanding retailer in the GCC.You will of course have excellent leadership, communication, strategic and business planning skills.


  • المملكة العربية السعودية, Saudi Arabia CAE Parc Aviation Full time

    **Job Role**: Office, Supervisors / Executive Positions **Type**: Permanent **Aircraft type**: None **Location**: Saudi Arabia **Job description**: **Job description** **Job Title**: Advisor for Digital/Chief Technology Officer **Reports to**:Vice President Chief Technology Officer **Essential Job Function**: - 1 to submit a plan. Q2 30% plan...


  • المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    We are seeking a highly skilled and experienced Programme-based Chief Technology Officer (CTO) to lead a significant piece of work based in the Kingdom of Saudi Arabia. The ideal candidate will possess deep technical expertise in cloud computing, a strong understanding of program management, and a proven track record of driving innovation and delivering...


  • المملكة العربية السعودية, Saudi Arabia Fircroft Arabia Full time

    Chief Operating Officer (COO) in **facilities management** is a senior executive responsible for overseeing and optimizing the operations of an organization's facilities. Their job description typically includes: **Strategic Planning**:Collaborating with the executive team to develop and execute the facilities management strategy in alignment with the...


  • المملكة العربية السعودية, Saudi Arabia Professional Recruitment Full time

    **Role Summary**: The Chief Financial Officer will play a pivotal role by providing strategic financial leadership and leading the financial strategy for the company by developing and implementing financial plans and budgets that drives growth and maximizes profit. **Responsibilities** - Developing and implementing financial plans and budgets - Identifying...


  • المملكة العربية السعودية, Saudi Arabia Qureos Inc Full time

    Job Title: Chief Compliance OfficerCompany:Al Fateh Sports ClubEmployment Type: Full-timeReports to:Chief Executive OfficerAbout the Company:Al Fateh Sports Club is a premier sports club dedicated to promoting a healthy and active lifestyle for our community. With state-of-the-art facilities and a wide range of sports programs, we strive to provide the best...


  • المملكة العربية السعودية, Saudi Arabia Qureos Inc Full time

    **Job Overview**: We are seeking an experienced and highly skilled Chief Financial Officer (CFO) to join our growing team. As a key member of the executive team, the CFO will be responsible for overseeing all financial aspects of the company and providing strategic financial guidance to ensure the company's continued success. **Key Responsibilities**: -...


  • المملكة العربية السعودية, Saudi Arabia Be Different Recruitment Full time

    Saudi Arabia, Dammam R R Monthly Cost To CompanyOur client, a successful supply chain company is urgently looking for a Chief Information Officer / CIO to join their team.This is an exciting opportunity to work in Damman - Saudi Arabia.In order to be considered the following is required:Relevant supply chain qualifications At least 10 years of supply chain...


  • المملكة العربية السعودية, Saudi Arabia Professional Recruitment Full time

    Role Summary:The Chief Financial Officer will play a pivotal role by providing strategic financial leadership and leading the financial strategy for the company by developing and implementing financial plans and budgets that drives growth and maximizes profit.Responsibilities Developing and implementing financial plans and budgets Identifying cost savings...

  • Chief Officer

    3 weeks ago


    المملكة العربية السعودية, Saudi Arabia OSM Thome Full time

    Seeking a Chief Officer (C/O) for an offshore self-propelled lift boat in Saudi Arabia. Key Responsibilities: - Assist the Master in all vessel operations - Supervise deck crew during mooring, anchoring, and cargo operations - Ensure compliance with safety and environmental regulations - Maintain navigational charts and publications **Requirements**: -...


  • المملكة العربية السعودية, Saudi Arabia Mark Williams Full time

    Location:Saudi ArabiaJob Reference:AT58Type:PermanentClose Date:04/07/2023Summary: Mark Williams is currently looking for a Chief Technology Officer to join a large private company in Saudi Arabia.Job Description: Responsible for developing and implementing the organization's technology strategy, ensuring alignment with the overall business strategy Oversee...


  • المملكة العربية السعودية, Saudi Arabia Vinnell Arabia Full time

    **Position** - ASSIST CHIEF OF OPERATIONS**Req Code** - 3825-203**Location** - DIRAB**Grade** - V-45**Basic Functions** - Oversees and manages the day to day operations. Responsible for strategic, tactical and personnel issues for Aircraft Fire and Rescue program in support of an airfield for rotary and fixed wing aircraft. Develops procedures, ensures...


  • المملكة العربية السعودية, Saudi Arabia Mark Williams Full time

    **Location**:Saudi Arabia **Job Reference**:CC2055 **Type**:Permanent **Close Date**:18/06/2024 **Summary**: Mark Williams is partnered with a leading conglomerate in based in Saudi Arabia that is actively seeking a dynamic and visionary Chief Technology Officer (CTO) to lead the digital transformation journey. Please note this role requires a leader...