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Elite Care

4 weeks ago

Jeddah, Saudi Arabia Bupa Arabia Full time

Manage members’ experience with the relevant operational functions to ensure that services are delivered to the members end to end in every touch point of their journey on a timely manner.
- Proactively propose and facilitate Tebtom and all other core healthcare services to the members to ensure that they will receive an appropriate care customized to their current medical needs.
- Serve as the main point of contact in providing timely information to the members about Bupa services i.e. pre-authorization, reimbursement claim, Tebtom, hospital delegate services, etc.
- Collaborate with cross functional service leaders to customize healthcare services according to the healthcare needs of the targeted population.
- Constantly striving in providing excellent service by collecting post-service feedbacks through online questionnaire to assess the quality of service provided to the members.
- Provide accurate and useful information to the members and their families on medical information or specific Bupa services.
- As necessary direct the members to the recommended doctors and/or alternative providers to ensure that they will be receiving a high level of quality in medical services.
- Assess the medical need of the members and refer her to appropriate department i.e. HCS for corresponding medical coaching intervention as required.
- Support the understanding of customer and consumer segmentation to offer breakthrough Healthcare services
- Support the implementation and segmented serving of our core healthcare services
- Report & lead consistently the reporting of KPIs updates for each service offering with data analytics team of the departments
- Lead the development and maintenance of Personal Coordinated Care (PCC) dashboard to monitor, review and report progress of KPIs against targets in a consistent manner
- Prepare, manage and conduct presentations and business updates to key leaders within the organization
- Provide monthly feedback report on the progress of PCC program as part of updates in overall Retention report
- Analyse the top recurring issues or service failures which members are facing in the critical touch point along the customer experience journey, and with all stakeholders identify solid actions to eliminate or at least reduce the problems at the minimum level
- Monitor and review the progress of Kaizen projects implementation in a timely and consistent manner using a structured action plan and tracker
- Ensure risk identification, escalation and mitigation of risks in a timely manner to identify and resolve any impact on project outcome or agreed timelines during project delivery

**Skills**:
**Skills**:
- Excellent knowledge and understanding of healthcare industry standards and regulations
- Strong communication and interpersonal skills to effectively interact with patients, families, and medical professionals
- Proficient in providing high-quality care to patients, ensuring their comfort and well-being
- Ability to accurately assess and monitor patients' conditions, and adjust care plans accordingly
- Skilled in performing medical procedures and administering medications under supervision
- Expertise in using medical equipment and tools, and maintaining their functionality and cleanliness
- Strong problem-solving skills to address any patient care issues or emergencies that may arise
- Ability to work well in a team and collaborate with other healthcare professionals to provide comprehensive care
- Proficient in keeping accurate and up-to-date medical records and documenting patient progress
- Knowledge of infection control protocols and the ability to follow them diligently
- Empathetic and compassionate nature to provide emotional support to patients and their families
- Excellent time management and organizational skills to efficiently prioritize and manage multiple tasks and responsibilities.