Payers Excellence Senior Specialist

3 days ago


Jeddah, Saudi Arabia Nahdi Full time

Support and facilitate building and nurturing a long-lasting relationship with the accounts based on a deep understanding of the health insurance market and client’s needs, to ensure account retention, healthy revenue & growth.

**Accountabilities**:
Business management support
- Assist all small accounts contracts initiation and management through identifying opportunities, defining customers’ requirements, documentation, contracting, retaining etc. to ensure business continuity.
- Facilitate to understand accounts’ needs and expectation
- Prepare the most appropriate commercial deal based on the approved guideline
- Identify business opportunities, prepare the most appropriate commercial deal based on the approved guideline and deploy the appropriate tactics to capture it
- Monitor portfolio performance to ensure payer department plans are met, this includes monitoring sales performance, regional performance and market data benchmarking where available.

Engagement management support:

- Facilitate the communication as point of contact for the portfolio of accounts to coordinate between internal and external stakeholders
- Collaborate with cross function to ensure the account is served appropriately
- Resolve the complaints and reconciliation issues through acting as the focal point between the insurance companies and the internal stakeholders to ensure business continuity and sustainability.
- Resolve all operational complexities from dispensing approvals to claiming rejections with insurance head and other stakeholders in order to maintain smooth operations.

Employee’s duties are not limited only to the above-mentioned Accountabilities; he/she may perform other duties as assigned.

**Work Environment**:

- Indoors : 80%
- Outdoors : 20%
- Working Days : 5 Working Days
- Days off : 2 Days Off
- Working Hours : 8:00 AM - 5:00 PM (1 hour break)

**Job Requirements**

Education
- Bachelor Degree, medical studies is preferred

Experience
- 1 to 3 Years of Experience in providing medical services to insurance companies or corporate

Computer Skills
- MS Office Suite
- Awareness of Insurance System

Languages
- English
- Arabic



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