Medical Claims Operations

JOB PURPOSE The role holder is responsible for guiding the effective and accurate assessment, administration and fair settlement of valid claims submitted by customers in line with the established claims and recovery guidelines. This role will also be responsible for the provision of requisite support to the Head, Claims and Recovery in all the recovery...

Plays a pivotal role in the seamless operation for care connect model to deliver best quality of patient care, oversee the business aspects, ensuring well-coordination and effective management with deep commitment to enhancing patient experiences and outcomes. **Key Responsibilities**: - **Coordinate Patient Care: Oversee** and manage patient care plans,...

**KEY ACCOUNTABILITIES**: - Ensure that the assets are all correctly tagged and recorded in correct location. - Prepare forms for additions and disposals of assets - Communicate to the Chief Accountant regarding deletion and addition of assets - Release property to authorized departments and individuals. - Informs employees receiving property of their...

The Clinic Operations Manager is responsible for the overall management of the clinic’s operations, ensuring the delivery of high-quality care and services to patients. This role involves managing staff, overseeing patient flow, implementing operational strategies, and ensuring compliance with healthcare regulations and standards. - Oversee the daily...

In a world of possibilities, pursue one with endless opportunities. Imagine Next! When it comes to what you want in your career, if you can imagine it, you can do it at Parsons. Imagine a career working with intelligent, diverse people sharing a common quest. Imagine a workplace where you can be yourself. Where you can thrive. Where you can find your next,...

Lead and develop the insurance business line at Nahdi, focusing on acquiring new business opportunities, defining strategic growth paths, maintaining key account relationships, and collaborating with governmental and regulatory entities, as well as other departments within Nahdi. **_Accountabilities: _** **Business Development**: - Responsible for...

**Position Snapshot**: Title: Sales Analytics & Support Specialist Location: Jeddah Full-Time **Position Summary**: - Ensure availability of all sales reports and dashboards for sales function use to track performance and ensure all tools and master data are up to date. Strong management of TTS, Claims and disputes with sales team. - Responsible for...

The role involves overseeing day-to-day pharmacy operations and managing referrals to provide optimal medication management and ensure access to necessary pharmaceuticals for patients Manage assigned patient service lines, and therapeutic programs - Oversee pharmaceutical care services and direct patient care programs to align drug utilization with patient...

Role Purpose: Handle all cases received from the outbound related channels and provide world-class service in every interaction for Health Care Center performance and customer satisfaction as per company and department’s standards and provide a competent, courteous, efficient and proactive point of contact for customers both internal and external with high...

Role Purpose: The VBHC Tamheer is responsible for supporting the implementation and monitoring of Value-Based Healthcare (VBHC) initiatives. The role focuses on assisting operational workflows, analyzing patient-reported outcomes (PROMs), and contributing to data-driven decision-making processes. This role collaborates across teams to ensure smooth execution...

Lead category performance by developing and implementing strategies to achieve sales and profit targets. Manage pricing, promotions, assortment planning, and inventory optimization while aligning with internal teams and external vendors. Build long-term supplier relationships and ensure compliance with company policies and regulations. Accountabilities: -...

**Job Title: Supply Chain Manager** **Location: Jeddah, Saudi Arabia** **Industry: Medical Trading** **About Us**: We are a leading medical trading company specializing in providing high-quality healthcare products across Saudi Arabia. With a strong network of over 30 global suppliers, we are committed to delivering excellence in service and supply chain...

Execute and complete specific deliverables and activities that analyze, validate, standardize the data-gathering process as well as report statistical data & performance metrics from multiple sources (e.g. insurance processing, performance metrics, clinical operations, demographics, costing reports.. etc) in order to fulfil our business and customers’...

Overview: **We Are PepsiCo** PepsiCo products are enjoyed by consumers more than one billion times a day in more than 200 countries and territories around the world. PepsiCo generated more than $79 billion in net revenue in 2021, driven by a complementary beverage and convenient foods portfolio that includes **LAY’S ®️, DORITOS ®️, CHEETOS ®️,...

**Site Name**: Jeddah Headquarters Business Park **Posted Date**: Sep 5 2024 **Associate Product Manager, Respiratory-GenMed.** At GSK we unite science, technology, and talent to get ahead of disease together. Are you looking for an opportunity to manage the integration of pharmaceutical brands and execute the marketing campaign to optimize the customer...

Assist in training and supervision of Technician student interns and new Technicians. - Provide staff leadership for tasks in a professional and personable way. - Promote a positive attitude and demonstrate a commitment to the vision/mission of the practice. - Make suggestions for how to improve practice protocols. **Patient Care** - Review the appointment...

**We’re Victaulic !** With more than 4,000 employees and 55 international facilities, Victaulic helps customers since 1919 in over 120 countries succeed in the global construction industry. From the tallest buildings to the deepest mines, customers trust our products to increase overall system durability in the most demanding construction projects and...

**Job Description Summary**: The GSI Project Director will be responsible for project delivery, profit & loss accountability, and customer satisfaction through management of project related activities and resources. Responsible for departmental operations planning/execution or is focused on execution of professional activities within a technical discipline....

**Job Title: Warehouse Labor** **Location**: Jeddah, Saudi Arabia **Employment Type**: Full-time **Whatsapp**: +966 59 480 4579 **Job Summary**: **Key Responsibilities**: - Load and unload materials from trucks or containers. - Organize and store goods in designated warehouse areas. - Assist in picking, packing, and labeling orders for delivery. -...

Jamjoom Pharma has in a very short span of time emerged, as one of the leading pharmaceutical companies in the Afrasia region. The geographical focus of the company is on countries in the Middle East, Africa, and CIS regions. Strategic focus on selected therapeutic categories has contributed to the rapid growth, market acceptance, and overall success of the...