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Healthcare Operations Director

2 weeks ago

Jeddah, Makkah Province, Saudi Arabia BUPA Arabia Full time

We are seeking a Medical Guidelines Development Manager to join our team at BUPA Arabia. This role will oversee the development, implementation, and continuous improvement of clinical guidelines, training programs, and clinical rules automation.

Clinical Guidelines Development

  • Design and develop evidence-based clinical guidelines aligned with regulatory requirements.
  • Conduct regular reviews and updates of clinical guidelines to reflect the latest medical evidence and industry best practices.
  • Collaborate with clinical leaders and subject matter experts to ensure guideline relevance and effectiveness.

Training and Education Programs

  • Develop comprehensive training programs for healthcare professionals on clinical guidelines, coverage policies, and decision-making protocols.
  • Organize regular workshops, e-learning modules, and competency assessments to maintain high standards of clinical practice.
  • Evaluate training effectiveness and implement continuous improvements based on feedback and performance outcomes.

Monitoring Adherence and Clinical Quality

  • Establish monitoring systems in collaboration with quality improvement teams to assess compliance with clinical guidelines across all departments.
  • Provide regular reports on guideline performance and adherence trends.
  • Lead the development and validation of clinical edits and rules for claims adjudication, ensuring accuracy and alignment with clinical guidelines.

Collaboration and Patient Safety

  • Work closely with healthcare providers, quality improvement teams, and digital innovation teams to align clinical guidelines with broader healthcare strategies.
  • Promote patient safety and satisfaction through effective guideline implementation.
  • Collect and analyze patient feedback related to care quality and adherence to guidelines.

Professional Development and Compliance

  • Stay updated on emerging healthcare trends, regulatory changes, and best practices in clinical governance.
  • Ensure ongoing professional development and compliance with regulations.
  • Facilitate opportunities for continuous education and professional development for healthcare staff.