Senior Manager
احفظ هذه الوظيفة وحافظ على تنظيم بحثك
قم بإنشاء حساب مجاني لحفظ الوظائف وإنشاء التنبيهات والعودة إلى هذه القائمة من لوحة التحكم الخاصة بك.
بالمتابعة، فإنك توافق على الشروط & سياسة الخصوصية.
• Ensure the effective implementation and consistent application of Medical Claims Department policies, procedures, work instructions, and quality standards.
• Plan, allocate, and prioritize workloads across the Medical Claims team based on claim volumes, complexity, business priorities, employee capabilities and available resources to deliver operational targets.
• Manage team performance through clear objective setting, regular performance monitoring, structured feedback, and timely intervention to address productivity, quality, and TAT gaps.
• Maintain effective communication with stakeholder to facilitate timely issue resolution, minimize operational disruptions, and ensure continuity of claims processing activities.
• Ensure all adjudication decisions comply with CCHI regulations, Insurance Authority requirements, benefits structure and Tawuniya internal policy.
• Lead continuous improvement initiatives to address root causes, reduce processing errors, eliminate waste and improve team capabilities.
• Coach and provide on-the-job training to team members who require additional support to achieve defined processing targets.
• Provide structured feedback and recommendations to support system enhancements, process redesign, automation opportunities and improved claims processing accuracy and efficiency.
• Support data-driven claims management and healthcare value initiatives, including VBHC, DRG and PHM to identify utilization trends, improve quality and appropriateness of care, optimize healthcare costs and support continuous improvement. Qualifications &
Experience:
• Bachelor of Medicine and Surgery; Post Graduate Management degree is a plus.
• 2 years of experience in medical field.
• Minimum 6 years of experience in Health Insurance preferably in medical claims.
-
Senior Manager
منذ 22 ساعات
Riyadh, Riyadh Region, المملكة العربية السعودية D360 Bank دوام كاملThe role is responsible for providing legal advice across various legal disciplines for the organization. He/she represents the firm's best interests from a legal standpoint, balancing commercial and regulatory requirements. He facilitates legal transactions and litigation on behalf of the organization, conducting the necessary legal research and analysis...
-
Senior Manager
منذ 4 أيام
Riyadh, Riyadh Region, المملكة العربية السعودية Mace دوام كاملMace combines construction expertise with consultancy to unlock potential in every person or project and redefine the boundaries of ambition. Our values shape the way we consult and define the people we want to join us on our journey. The project: This is an opportunity to work on one of the largest programmes in Saudi Arabia. This unique project consists of...
-
Riyadh, Riyadh Region, المملكة العربية السعودية Riyadh Air | طيران الرياض دوام كاملRiyadh Air (RX), headquartered in the Saudi Capital, is the new national airline that’s shaping the future of flying. It seeks to lead the aviation industry by transforming Saudi Arabia into a global aviation and trade hub – a digitally native airline that will connect the kingdom to more than 100 destinations. About The Role Do you aspire to transform...
-
Senior Manager
منذ 4 أيام
Riyadh, Riyadh Province, المملكة العربية السعودية Qiddiya Investment Company دوام كاملDescriptionLead the planning, development, and delivery of real estate, infrastructure, mixed-use, or destination development projects from concept through approval and execution stages.Manage development activities, business cases, stakeholder engagement, and project coordination to ensure alignment with strategic, commercial, financial, and operational...
-
Guest Relations Senior Manager
منذ 3 أيام
Riyadh, Riyadh Province, المملكة العربية السعودية THA Venues, Parks & Resorts دوام كاملDescriptionAbout the RoleWe are recruiting a Guest Relations Senior Manager for a dedicated full-time team delivering guest management at a major international multi-sport event. The role sits within our client’s Guest Management function. It is based on site in Riyadh, KSA, and runs from ASAP until the end of December 2026, covering readiness, event time...
-
Senior Manager
منذ 10 ساعات
Riyadh, Riyadh Province, المملكة العربية السعودية Consulture Search دوام كاملSenior Engineering Underwriter Riyadh Saudi Arabia Education & Experience: Bachelors degree in Engineering or a relevant field is required MSc is preferable.Professional Qualification e.g. ACII is preferable.7 years of relevant experience in reinsurance/insurance (in a mature market or well-established company)Strong technical knowledge and familiarity...
-
Conservation Senior Manager
منذ 5 أيام
Riyadh, Riyadh Region, المملكة العربية السعودية Asaan | آسان دوام كاملJOB PURPOSE The Conservation Senior Manager (Objects and Textiles) is responsible for the day-to-day delivery of conservation services for the organization's collections. Working to the Direction of the Collections Care Director, this role ensures that the collections are maintained, conserved, and available to meet the needs of various stakeholders,...
-
Senior Manager HSE
منذ يوم
Riyadh, Riyadh Region, المملكة العربية السعودية JASARA PMC دوام كاملSenior Manager – Health, Safety & Environment (HSE) Reports To Director / Head of HSE / Operations Director Job Purpose The Senior Manager – HSE is responsible for developing, implementing, and overseeing the organization's Health, Safety, and Environmental management systems to ensure compliance with applicable regulations, industry standards, and...
-
Senior Manager HSE
منذ يوم
Riyadh, Riyadh Region, المملكة العربية السعودية Jasara Program Management Company دوام كاملSenior Manager - Health, Safety & Environment (HSE) Reports To Director / Head of HSE / Operations Director Job Purpose The Senior Manager - HSE is responsible for developing, implementing, and overseeing the organization's Health, Safety, and Environmental management systems to ensure compliance with applicable regulations, industry standards, and...
-
Riyadh, Riyadh Region, المملكة العربية السعودية AtkinsRéalis دوام كاملJob Description Job Description The successful candidate will be a key member of the Owner's IT and Telecom Infrastructure team, responsible for overseeing the operation, maintenance, performance, and continuous improvement of the Project mission-critical Data Center and Telecom systems. The role requires strong technical expertise, leadership...
