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Clinical Operations Supervisor

3 weeks ago

Khobar, Eastern Province, Saudi Arabia beBee Careers Full time

Key Performance Indicators

The Medical Claims Manager is evaluated based on their ability to meet the following key performance indicators:

  • Effectiveness in supervising the Medical Claims Department.
  • Adherence to medical guidelines and regulatory instructions.
  • Ability to set clear goals and priorities for the medical team.
  • Quality of staff development opportunities provided.
  • Success in establishing effective cost containment plans.
  • Accuracy and timeliness of communications with the Network Department.
  • Effectiveness in identifying and reporting suspected fraud and abuse.
  • Quality of data-driven insights and recommendations provided.
  • Compliance with policies and procedures.
  • Quality of approvals and continuous improvement efforts.
  • Productivity and efficiency targets.
  • Client satisfaction and query resolution rates.