Execution of health management projects and client health cost control. Promoting a culture of health and wellness within companies.
Responsibilities
Execute strategic health management projects for the client portfolio aimed at controlling medical plan costs and promoting a culture of health and prevention within companies;
Monitor hospitalization authorizations to track ongoing admissions and propose strategies for discharge and reduction of unnecessary hospital stays;
Participate in health committees for key clients to analyze major risks in the health insurance policy and monitor implemented health actions;
Conduct health studies, mapping major variances and their financial impacts to prioritize key risks and define action plans based on identified deviations;
Provide technical support (analysis of medical claim denials, coverage under the ROL, and facilitating medical transfers with the insurer) requested by our clients;
Discuss medical cases with the clients' medical teams.
Requirements
Required qualifications:
Degree in Nursing with active COREN registration;
Intermediate knowledge of Microsoft Office (particularly intermediate Excel and PowerPoint);
Experience in the health benefits market, medical auditing, brokerages, or health insurers/operators;
Tableau Developer creating interactive dashboards and reports for Fortune 500 companies. Working with SQL and Tableau to drive data - driven decisions in FS & Insurance domains.
Technical Consultant overseeing data migration and solutions for customers at Workday. Collaborating with client teams and employing innovative techniques in a cloud landscape.
Senior Consultant for Tracking Strategy & Insights at quantilope enhancing client programs through strategic insights. Blending marketing research expertise with storytelling to drive business success.
Senior Consultant driving transformation in Airport Information Technology for national and international clients. Collaborating on projects with a focus on efficiency and process optimization.
Senior Asset Management Consultant in Arcadis's Resilience Water Team. Focused on delivering engineering solutions for water and wastewater utilities, requiring strong communication and technical skills.
Consultant Neurosurgeon responsible for complex neurological disorders in a UAE Government Hospital. Opportunity for relocation with excellent professional development and patient care commitment.
Consultant in Family Medicine providing expert primary care in a prestigious Private/Specialty Hospital in the UAE. Seeking European - based doctors for relocation and career growth in a multicultural environment.
Consultant Stroke Physician role in a prestigious Private/Specialty Hospital. Assisting stroke patients with expert diagnosis, treatment, and management in a multicultural environment.
Consultant Dermatologist providing advanced dermatological care in a prestigious private healthcare facility. Assessing and managing complex cases while collaborating with a multidisciplinary team.
Join a UAE government healthcare facility as a Consultant Visceral Surgeon, delivering expert surgical care and mentoring staff. Unique opportunity for European - based doctors seeking relocation.