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Job Description
Role Purpose:
Leading and providing specialized expertise for innovative initiatives at the intersection of healthcare, technology, and analytics, with a primary emphasis on guiding the planning, execution, and successful completion of integrated projects that advance our revenue cycle management and health informatics strategy.
Key Accountabilities:
1- RCM Projects Leadership;
- Lead the planning, execution, and monitoring of digital, system integration, and data projects.
- Ensure projects align with organizational goals and contribute to the overall success of the revenue cycle management and health informatics strategy.
- Solving complex problems by giving scientific based solutions & recommendations based on experiences.
- Continuously assess project risks, ROI, and resource needs, adapting strategies to ensure optimal outcomes.
- Grow a collaborative mindset among team members, encouraging cross-functional cooperation for integrated project success
2- Collaborative Integration Excellence;
- Facilitate seamless collaboration among internal systems, partner providers, and Bupa systems, ensuring streamlined billing and data exchange with agreed-upon standards.
- Work closely with the Digital team to integrate systems effectively, with a special focus on NPHIES integration.
- Enhance and maintain effective communication channels with Mega providers, Mega Customers, Suppliers and vendors
- Effectively manage smooth process flow of internal and external inquiries and requests to provide scientifically based solutions.
3- Advanced Analytics and Predictive Modeling;
- Drive the implementation of innovative analytics and predictive modeling techniques to anticipate health trends and behaviors.
- Collaborate closely with data scientists and analysts to develop sophisticated models that proactively predict potential health scenarios.
- Utilize predictive models to inform strategic decisions, providing valuable insights into future healthcare needs.
- Continuously assess the effectiveness of predictive models, iterating and refining as necessary to enhance accuracy.
4- Business opportunities and Process Optimization;
- Oversee the meticulous creation, maintenance, and distribution of core Revenue Cycle metrics performance reporting.
- Implement process optimization initiatives, identifying and capitalizing on opportunities to enhance digital, integration, and data projects..
- Implements identified automation while maintaining quality standards/metrics which improve the customer experience
- Implements and adheres to a project/process methodology to mature the the team’s ability to deliver high-quality solutions.
5- Best Practice Implementation;
- Drive and promote the implementation of best practices in business intelligence and analytics.
- Represent the RCM team with technology providers, contractors, and consultant organizations involved in assigned projects.
- Engage in developing clarifications and comprehensive testing protocols for new projects related to revenue and data management.
- Monitor and ensure that all healthcare solutions meet regulatory and quality standards.
6- 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
- Analytical skills
- Communication skills.
- Technical skills in integration systems and data-driven insights
- Experience in healthcare/ health insurance
- Experience with healthcare analytics/ informatics / projects
- Demonstrated experience in driving strategic initiatives, collaboration enhancement, and implementation of advanced analytics in healthcare settings.
- RCM experience is a plus.
Education
MBBS (Bachelor of 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.
