As a fast growing and dynamic third party administration company (concentrating mainly on medical insurance administration), we are committed to consistently meet or exceed our client’s expectations. We have opportunities in our organizations for exceptional people who want to be a part of our already successful & growing team.
1. PROVIDER NETWORK MANAGER
Responsibilities:
Ø Manage day to day provider operations, either direct or through network business partners
Ø Develop strategic relationships with providers throughout UAE & other regions.
Ø Ensure the international contracting work is in support of the international network strategies.
Ø Identifies and obtains international provider contracts through negotiation with optimal provider discounts and vendor fee arrangements that support financial results.
Ø Effectively negotiate and manages complex, competitive contractual relationships with Providers/vendors according to prescribed guidelines in line with the network strategies.
Ø Ensures operational efficiency for all network processes and infrastructure thorough proactive provider education.
Ø Manage and oversee the personnel actions for the network team, which includes but is not limited to Hiring /Training/evaluating and managing performance of employees;
Ø Leads/contributes to the development of the regional international network strategy in response to market expectations.
Ø Initiate and ensure the engagement of appropriate matrix international departments as needed (e.g. legal review of contracts).
Ø Responsible for identifying, understanding, managing and resolving international medical cost, provider, vendor and program issues and initiating appropriate action including escalating as necessary.
Ø Effectively identifies, analyzes, negotiates, executes and maintains complex, competitive contractual relationships with local & international medical providers & insurance companies.
Ø Provides administrative support for the effective ongoing operationalization of the provider contracts with international providers
Ø Ensure ongoing effective communication both with the international providers and interdepartmentally; raising any issues promptly with corresponding recommendations for solutions.
Ø Produce reports and updates regarding the progress of targets.
Ø Ownership for Provider data, ensuring data accuracy which provides the basis for sound Business decisions.
Ø Working across departments to resolve provider related service issues, owning and managing issues to closure
Ø Ensuring effective, timely and accurate client communications (oral and written), establishing and reviewing key performance indicators (KPI’s), and Service level Agreements (SLA’s).
Ø Demonstrate strong persuasion and relationship building skills
PEOPLE MANAGEMENT
ü Apply and respect Neuron leadership principles and create an environment of open communication and continuous improvement.
ü Liaise with operations teams and ensure quality customer service delivery.
ü Create professional atmosphere of mutual support among staff to maintain highest levels of organizational flexibility.
ü Provide professional leadership and direction to the functions within the operational departments
ü Delegate responsibilities in order to accomplish tasks on time
ü Orient new staff to policy procedures and protocol of work area.
ü Performance counseling as necessary
INTERNAL BUSINESS PROCESSES
ü Monitor and participates in quality control and reviews.
ü Communicate with other department managers pertaining to issues related to client satisfaction.
ü Develop and monitor subordinates skills to fulfill the tasks requirements and enable motivation of staff and encourage their professional growth.
ü Develop and maintain beneficial working relationships with subordinates and colleagues and meet inter departmental deadlines.
COMPETENCIES REQUIRED:-
ü Excellent communication skills in English (Arabic is an advantage) (both verbal and written)
ü Strong negotiation skills and the ability to gain acceptance from others of a plan/idea and to achieve a mutually beneficial outcome
ü Comprehensive understanding of hospitals/clinics and physician financial /operational issues and how to leverage technology to achieve quality, cost containment, and network access
ü Ability to work and communicate effectively in balancing priorities with multiple organizations, regions and corporate constituents.
ü Familiar with TPA work process especially in Health Insurance industry
ü Comfortable working with numbers and complex data sets
ü Ability to develop strategic relationships with Providers throughout UAE & other regions
ü Solid decision-making skills while executing national, regional and market level strategies.
ü Effective process improvement and problem resolution skills
OTHER BENEFITS:
ü Covered under medical insurance policy of Co.`s choice.
ü Annual economy class airfare to home country
ü Bonuses and increase depending on the company’s profitability & performance
ü All other benefits as per UAE labour laws
2. BUSINESS DEVELOPMENT OFFICER
Responsibilities:
Ø Handle existing relationships with Insurance companies.
Ø Develop and nurture new relationships with potential clients.
Ø Develop strong relationships with Insurance Brokers.
Ø Maintain a sales pipeline of potential customers.
Ø Promote Neuron image and name as a leading TPA within the UAE and regional markets.
Ø Achieve targets and objectives set and agreed with direct reporting Line manager
Ø Would be required travel to Oman 3-4 times in a year.
SKILLS/KNOWLEDGE AND EXPERIENCE REQUIRED
ü Minimum 2-3 yrs experience in the insurance sector.
ü UAE experience is a must.
ü Valid UAE Driving License.
FUNCTIONAL COMPETENCIES REQUIRED
ü Proficiency with PC based applications
ü Excellent working knowledge of Excel.
OTHER BENEFITS:
ü Covered under medical insurance policy of Co. `s choice.
ü Annual economy class airfare to home country
ü Bonuses and increase depending on the company’s profitability & performance
ü All other benefits as per UAE labour laws
Candidates meeting the above requirements,Please e-mail your resumes to recruitment@neuron.ae with a covering letter stating and at-least two references of people whom you have worked with recently. Interested applicants please send your CVs on or before 27th May 2012. No Telephone calls or faxes will be entertained.
Please select the required claim form from below
Tel: +971 4 3996 779
Fax: +971 4 3823 650
Email address: info@neuron.ae