Roving Doctor (Manger Clinical Excellence)

Role Purpose:

Managing a group of hospitals to ensure that inpatient customers are receiving optimal healthcare within agreed quality parameters.

Key Accountabilities:

1. 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.

2. 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.

3. 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.

4. HAD Daily sheet:

• Present accurate, detailed daily input on all in-patient cases with reasons for the decisions taken.

5. Reporting:

• Report Savings and Fraud to Regional HAD Managers.
• Report High Value Claim cases to Provider Relations.

6. Market Intelligence:

• Searching for, and reporting to Regional, all Provider and competitor practices proactively.

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.

Medicine & Surgery