Healthcare/Medical Jobs in Saudi Arabia HCO Team Leaders ( Continuity of care team leader ) - Medical Role - Bupa Arabia
Jobs Healthcare/Medical Jobs in Saudi Arabia in Saudi Arabia
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Jobs Healthcare/Medical Jobs in Saudi Arabia in Saudi Arabia
Role purpose:
To ensure that the team delivers the healthcare partnership operations services and supports healthcare partner projects in order to drive the healthcare partner strategy of Bupa Arabia
Healthcare Operations Services
- Ensure all team members do the following:
- Liaise with medical and non-medical staff at providers to ensure quality healthcare service for our members
- Conduct Chronic Disease Management, Medication Refill, Home-Based Lab, Natal Care, Child Vaccination Coaching, Acute Child Care, Musculoskeletal Disease Coaching
- Rework any case that is medically justified, in alignment with the Pre-Authorization, to build trust with our members
- Maintain and update a daily database and tracker of all issues raised and members touched
- Conduct follow up on open cases to ensure optimal members recovery and issue resolution
- Answer medical queries from CS, HAD/CE, Delegates, etc.
Healthcare Operations Operational Excellence
- Ensure all team members do the following:
- Engage Inpatient/Outpatient/Surgical members by conducting Outbound calls based on specific and clearly defined criteria
- Maintain and update a database for the treating doctor and provider/hospital service delivery review of the customer experience based on clearly defined matrix and service levels
- Conduct follow up on open cases to ensure optimal members recovery and issue resolution
- Feed all service failures to the SMB
- Prepare, support & deliver the Quarterly Treating Doctor awards in collaboration with Marketing Dept.
Quality Health Outcomes & Patient Safety
- Ensure all team members do the following:
- Follow validated scripts and have “Zero” Quality scoring of Criminal & Basic
- Ensure health outcomes & compliance of members by building relations with members
- Ensure high customer satisfaction in line with BUPA values and business strategy
Healthcare Projects
- Ensure all team members do the following:
- Support the delivery of healthcare projects by conducting follow up calls and coaching of our members for all healthcare projects and initiatives launched
Healthcare Operations Service Excellence
- Ensure all team members do the following:
- Conduct Doctor Chats through the Bupa Arabia website and answer member queries
- Receive Member Helpline Inbound calls from both Bupa Members and Non-Members
- Respond to Medical Helpline voice messages within the agreed KPI of 15mins
- Collaborate with the Sales Relationship team and send potential leads to them
- Conduct Outreach programs with Groups/Customers to promote healthcare partnership and wellness agenda
- Participate in Healthcare campaigns, such as Breast Cancer, Chronic Disease Management Programs etc.
Capability Building & People Management
- Ensure and facilitate goal setting; manage and constantly review individual team performance
- Provide regular feedback, coaching and development
- Motivate, empower and enable direct reports by providing the necessary tools and support
Job Details
| Posted Date: | 2020-03-22 |
| Job Location: | Jeddah , Saudi Arabia |
| Job Role: | Medical, Healthcare, and Nursing |
| Company Industry: | Insurance & TPA |
Preferred Candidate
| Career Level: | Management |
| Degree: | Bachelor's degree |
To apply for this job click here
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