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Job Description
Role Purpose:
Managing a group of hospitals to ensure that inpatient customers are receiving optimal healthcare within agreed quality parameters.
Key Accountabilities:
- Consultants and Medical Directors inside Providers;
- To agree the case management plans with Consultants with Providers.
- Closely follow-up for all in-patient cases on a daily basis.
- To raise critical issues with Provider’s Medical management as and when required.
- Insurance offices and Provider Mgmt.:
- To ensure all approvals and rejections are agreed.
- To ensure that all invoicing is as per the terms of the agreement.
- Customers and their relatives:
- To be in touch with inpatients and their relatives to promote Bupa image and solve any problems the customer - or his family - may have with the hospital, proactively.
- HAD Daily sheet:
- Present accurate, detailed daily input on all in-patient cases with reasons for the decisions taken.
- Reporting:
- Report Savings and Fraud to Regional HAD Managers.
- Report High Value Claim cases to Provider Relations.
- Market Intelligence:
- Searching for, and reporting to Regional, all Provider and competitor practices proactively.
Skills
Education:
- Bachelor degree of medicine (MBBCh/MBBS).
- Preferably diploma or masters in a clinical specialty.
- All hospital Audit Doctors need to be licensed by the Saudi Council for Healthcare Specialty.
Experience Fields:
- Medical.
Years of Experience:
- At least 2 years of active medical practice.
Education
Medicine & Surgery
Job Details
Preferred Candidate
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.
