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Job Description
To lead and direct the utilization of medical services, procedures, tests, medications, referrals, and cost-effectiveness. Apply clinical expertise and analytical skills to uncover innovative strategies that more effectively address the needs of specific populations, enhancing outcomes, stakeholder contentment, and departmental productivity
Clinical Benchmarking and Best Practices Analytics
- Direct the integration of clinical data from multiple sources, ensuring comprehensive and strategic analysis. Including electronic health records, patient outcomes, and operational metrics
- Lead collaboration with IT for enhanced data integrity and analytics capabilities.
- Oversee the application of advanced predictive and prescriptive analytics to guide clinical decision-making.
- Champion the development and implementation of innovative clinical benchmarking metrics
Internal Utilization Management &Telemedicine Efficiency
- Develop and implement advanced measures for telemedicine outcomes, setting industry-leading standards. Including patient outcomes, referral pattetn, prescritptions and follow-up care
- Report the ouctomes against peer groups that effectively measure and improve telemedicine outcomes.
- Report and enhance feedback mechanisms for medical teams, focusing on strategic improvements and high-impact interventions.
- Drive initiatives for significant improvement in telemedicine efficiency and patient care
Partner Provider Collaboration
- Lead strategic collaboration in utilization review, aligning services with partner providers
- Initiate and manage high-level feedback loops for continuous improvement in provider collaboration.
- Lead on opportunities for positive provider opportunities and interventions where necessary ensuring delivery of the opprtuinty
- Utilize advanced analytics to optimize provider behavior and performance based on utilization guidelines
Cost-effectiveness Analytics
- Integrate cutting-edge cost-effectiveness strategies into utilization reviews for optimal resource allocation.
- Lead cross-functional teams in validating and improving commercial viability of care pathways.
- Spearhead major collaborative projects with a focus on financial impact and quality enhancement
Leadership Capabilities
- Ensure and facilitate goal setting manage and constantly review individual performance .
- Provide regular feedback, coaching and development .
- Motivate, empower and enable direct reports by providing the necessary tools and support required to achieve the organizational development objectives .
- Providing leadership and on-going training and development to create a positive team environment .
- Manage transformation and adaptation of team to new service delivery modules.
- Provide leadership, professional guidance and directions to the assigned team members.
- Preparing KPIs for the team performance.
- Build the capabilities of the team members
Skills
- Data visualization tools and Analytical skills.
- Problem-solving skills.
- Communication and presentation skills.
- Leadership skills
Education
Bachelor's/Master's degree medical, healthcare management or healthcare informatics
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.
