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      Report Analyst- IT Healthcare | Najma Consultancy

      by

      Employment:

      Full Time

      A reputed IT Healthcare company in Dubai is looking for Reporting Analyst having hands on experience in management of complex IT projects ,application development and software knowledge.Responsibilities:Management of complex IT projects , application development and softwaredevelopment life cycle methodologies, experience in healthcare IT.IHE transactions and FHIR.Provide high quality project reports, and dashboards, Analysis and reporting of project status, compliance, and performance against defined KPIs using the PMO tools and data.

      Salary:
      AED
      8,000 to 10,000
      per month inclusive of fixed allowances.

      Requirements:3 to 7 years’ experience in hands-on management of complex IT projects , application development and software and Development life cycle methodologies, experience in healthcare IT.Good understanding of Health Information Exchange (HIE) standards and protocols (HL7, CCD, C-CDA).Good understanding or working knowledge of IHE transactions and FHIR.Experience with file parsing (XML, XSLT, etc.)Immediate joiners preferred ,UAE.

      Najma Human Resources and Training Consultancy, is committed to professional service in Human Resource and Training .

      Najma, has been operating successfully since 1997 and has been offering consultancy service to a number of reputed organizations in the Middle East, Eastern Europe and Africa. More

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      Risk and Quality Manager | PricewaterhouseCoopers

      by

      Employment:

      Full Time

      Risk and Quality – Middle East Employment Counsel – ManagerLine of ServiceInternal Firm ServicesIndustry/SectorNot ApplicableSpecialismIFS – Risk & Quality (R&Q)Management LevelManagerJob Description & SummaryThe Office of the General Counsel (OGC) of the PwC Middle East network advises partners and staff on legal matters arising in the internal and external business of PwC. The team provides legal support to the business throughout the Middle East region.We are looking to hire an in-house lawyer to handle a range of employment matters, including advising on employment laws and regulations in the Middle East region, drafting and reviewing employment contracts and letters, assisting the Human Capital department and Business Units in relation to employment queries, advising on ad-hoc matters relating to staff’s employment, and generally advising on any labour issues affecting the firm in the region. The applicant will be involved in assessing the legal risks of taking certain decisions in relation to employees of the firm. The lawyer will also be asked to assist in other general matters handled by OGC, including internal workplace investigations, regulatory and litigation matters, and corporate work. Of equal importance are excellent communication skills, the ability to build relationships and the capability to determine strategy and influence negotiations in an innovative business environment.

      This is a demanding role and the likely candidate will have at least 6-8 years’ experience of employment law in the Middle East, with knowledge of general corporate law and an ability to work in the region and travel when necessary. Experience at a law firm, with a regulator, or in-house in the GCC is preferable. The role is based in Dubai.

      PwC firms help organizations and individuals to create the value they’re looking for.

      We’re a network of firms in 158 countries with close to 169,000 people who are committed to delivering quality in assurance, tax and advisory services. PwC is the brand under which member firms of PricewaterhouseCoopers International Limited (PwCIL) operate and provide services. Together, these firms form the global PwC network.

      In our 3 key areas of business or Lines of Service Assurance, Tax, and Advisory we work with our clients from business start ups to the worlds leading organizations to measure, protect and enhance the things that matter most to them.

      We help our own people to learn, discover, develop and make a real difference all the way through their working lives. And we have big ambitions to grow.

      PwC Middle East Region is part of what we call the Central Cluster and includes the UK, Europe and Africa as well as the Middle East. The region consists of 12 markets – UAE, Saudi Arabia, Qatar, Kuwait, Bahrain, Oman, Jordan, Lebanon, Egypt, Libya, Iraq and Palestine.

      PwC has been established in the region for over 40 years, we already employ over 4500 people and we are on course to become the Middle East number one professional service firm. More

    • 200 Shares149 Views

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      Medical Officer – Doctors – Insurance | A Leading TPA (Third Party Administrator) in Medical Insurance

      by

      Employment:

      Full Time

      ? Assess day-care and in-patient cases as per medical justification and policy coverage.? Escalate and confirm grey-area cases. Confirming of exclusions of borderline cases OP/IP.? Assists CC officers and supervisors in claims adjudication cases as needed.? Sending request of confirmation and notification to corresponding payers as needed.? Responding to payer’s queries in relation to day-care and In-patient cases.? Responding to the payers request for advice on coverage of cases.? Monitor Claims cost as per internal guidelines. ? Rejecting medically unjustified and policy wise excluded day-care and in-patient cases to be signed by Chief Medical Officer.? Conformity of assessment for the prescribed tests/medications/investigations/clinical procedures? Issuing day-care and In-patient cases Reimbursement Approval in line with medical and policy coverage. ? Contacting provider for queries and clarifications.? Doing clinical discussion directly with the network’s doctor as needed.? Seeking verbal clinical opinion from Network’s doctor as needed.

      Salary:
      AED
      9,000 to 10,000
      per month inclusive of fixed allowances.
      Additional benefits: Annual ticket, medical and life insurance

      ? Medical Doctor (MBBS degree/ MD degree)? 2 – 3 years’ experience in the healthcare industry/hospitals is mandatory ? Basic Industry knowledge (healthcare/insurance) is a plus.? Should be a team-player with an aptitude for customer service ? Must be service oriented ? Highly decisive with outstanding logic and reasoning skills? Excellent oral and written communication skills? Must be computer literate ? Excellent command of the English language, Arabic is a plus ? Candidate must be tactful and discrete when dealing with clients and must be able to handle confidential information ? Ability to work under pressure and meet tight deadlines and varying work-schedules

      One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

      We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

      It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

      We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential. More

    • 75 Shares189 Views

      in Job Posting

      HR Manager | HR Source Consulting

      by

      Employment:

      Full Time

      We are looking for an HR Manager to oversee all aspects of human resources practices and processes. HR Manager duties will involve managing activities such as job design, recruitment, employee relations, performance management, training & development and talent management.Responsibilities- Develop and implement HR strategies and initiatives aligned with the overall business strategy- Bridge management and employee relations by addressing demands, grievances or other issues- Manage the recruitment and selection process- Support current and future business needs through the development, engagement, motivation and preservation of human capital- Develop and monitor overall HR strategies, systems, tactics and procedures across the organization- Nurture a positive working environment- Oversee and manage a performance appraisal system that drives high performance- Maintain pay plan and benefits program- Assess training needs to apply and monitor training programs- Report to management and provide decision support through HR metrics- Ensure legal compliance throughout human resource management

      Requirements- Proven working experience as HR Manager or other HR Executive- People oriented and results driven- Demonstrable experience with Human Resources metrics- Knowledge of HR systems and databases- Ability to architect strategy along with leadership skills- Excellent active listening, negotiation and presentation skills- Competence to build and effectively manage interpersonal relationships at all levels of the company- In-depth knowledge of labor law and HR best practices- Degree in Human Resources or related field

      Since 2010, our team has successfully placed some of the world’s finest graduate to mid and C-level talent in organisations across EMEA and APAC, and it all comes down to our niche approach and understanding of the market place, skill sets and trends.

      From our offices in Dubai, Riyadh, London and Singapore, we run a sector specific operation. Meaning we specialise in your industry and are able to completely understand your vision, provide market insights and intelligence, and deliver the best talent to fit seamlessly into your operations. More

    • 200 Shares99 Views

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      HR Admin Executive / Document controller | A Leading TPA (Third Party Administrator) in Medical Insurance

      by

      Employment:

      Full Time

      HR Operations: 1.Apply the UAE law guidelines while conducting all HR activities2.Administer joining formalities;3.Handling personnel files; soft and hard forms (e-filing project)4.Manage leave and attendance; 5.Explain the various policies, strategies and benefits to employees. 6.Assist in employee motivation and foster fruitful communication among different nationalities. 7.Managing employee requests such as salary advances, reimbursement requests, employment certificates, letters to document increments and bonuses. 8.Other duties as assigned by the Head of HR.

      Salary:
      AED
      4,000 to 5,000
      per month inclusive of fixed allowances.
      Additional benefits: Annual ticket, medical and life insurance

      – Graduate degree in any relevant discipline: human resources, psychology or business administration. – 3-5 Years of experience in administering key HR activities- Proven track in handling HR activities for a MNC company. – Excellent communication skills and interpersonal skills. – Result driven, target orients and could thrive in an environment with clear accountabilities.- Experienced with data management and numeric.- Displays positive attitude at all times.

      One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

      We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

      It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

      We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential. More

    • 288 Shares149 Views

      in Job Posting

      Assistant Manager – Operation Support Quality Assurance – Quality and Compliance – Insurance | A Leading TPA (Third Party Administrator) in Medical Insurance

      by

      Employment:

      Full Time

      2- 5 years experience in Quality Assurance in the TPA or Insurance company in the UAE.-Develop an internal audit & assessment schedule, to audit key business functions, issue reports, follow up audit and present the results to Head of Compliance.-Develop and streamline and ensure implementation of quality and compliance Processes/ Policies & Procedures. Have an overview of all Policies & Procedures related to the Medical Operations and ensure that they are reviewed periodically or on contingency basis and revised/corrected/amended and properly implemented. -Provide new strategic audit initiatives at request and will be expected to successfully lead development projects assigned to him/her. -Audit systems and procedures by conducting gap analysis and highlight corrective/preventive actions.

      Salary:
      AED
      12,000 to 15,000
      per month inclusive of fixed allowances.
      Additional benefits: Annual ticket, medical and life insurance

      – Bachelor’s degree in Medical or Paramedical field.- 5 years of experience gained at a Healthcare provider and/or Insurance TPA, including more than 5 years of experience in an insurance position handling teams. – Experience in medical coding and HAAD / DHA rules and regulatory requirements is a must. – Familiar with IT Applications related to the job and readiness to understand the related IT Systems from the business side. – Excellent oral/written communication skill in English is a must. – Assertive and problem solver; Able to implement structural changes to reach effectiveness. – Persuasive skills and possesses conflict-resolution skills. – Client-focused approach while problem-solving or recommending changes.

      One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

      We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

      It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

      We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential. More

    • 100 Shares129 Views

      in Job Posting

      Transfer Pricing (Financial Services) – Director | PricewaterhouseCoopers

      by

      Employment:

      Full Time

      Tax & Legal Services – Tax – Transfer Pricing (Financial Services) – DirectorLine of ServiceTaxIndustry/SectorBanking and Capital MarketsSpecialismTransfer PricingManagement LevelDirectorJob Description & SummaryA career within Transfer Pricing services, will provide you with the opportunity to help our clients develop compliant, tax efficient structures that help advance their business goals. You’ll focus on all aspects of documentation planning, dispute resolution, and advance pricing agreements.Our team is responsible for all aspects of intercompany pricing arrangements between related business entities, including transfers of intellectual property, transfers of tangible goods, services and loans, and other financing transactions.Inter-company transactions across borders are growing rapidly and are becoming much more complex. Compliance with the differing requirements of multiple overlapping tax jurisdictions is a complicated and time-consuming task. As a senior member of the Transfer Pricing Team, you will work on all aspects of intercompany pricing arrangements between related business entities within the wider financial services sector (i.e. banking institutions, insurance companies, sovereign wealth funds, etc.).  Thorough knowledge of developing global tax minimization strategies; maintaining close cooperation between subject matter experts in economic analysis, tax law, and accounting; inter-company pricing arrangements between related business entities including all types of intercompany transactions (i.e. management services, intellectual property, intercompany loans, cash-pooling, etc.). Considerable knowledge in identifying and assessing clients cross-border inter-company transactions; developing local country transfer pricing documentation, strategizing on local- country revenue authority transfer pricing audits, performing global planning for continuous optimization of intercompany transactions as well as special projects related to clients restructuring and acquisitions.  Job Description: Assist and advise clients on their Transfer Pricing in the Middle East region by: – Preparing regional and local country transfer pricing documentation (masterfile, local file and Country by Country reporting);  – Advising on Transfer pricing planning projects for continuous optimization of clients inter-company transactions;,  – Advising on special transfer pricing projects related to clients restructuring, acquisitions and divestitures, statistical tools and modeling methodologies; – Building, maintaining, and utilizing networks of client relationships and community involvement;  – Preparation of value propositions on various transfer pricing projects;  – Management of resource requirements, project workflow, budgets, billing and collections; – You should also have an awareness of PwC services and experience in working as part of a team, understanding personal and team roles and building solid relationships with team members; – Ability to develop and maintain existing internal and client relationships and help build new relationships. 

      Requirements: – Bachelor’s Degree in a relevant subject i.e. Finance, Economics, LLB etc.  – A minimum of 12+ years of relevant experience in Transfer Pricing within a developed market  – Deep knowledge of financial transactions within Transfer Pricing  – Fluent in written and spoken English – Leading and growing client relationships – Experience in managing a regional team and working in a leading global professional services practice  – Seeking diverse views to encourage improvement and innovation  – Coaching staff including providing timely meaningful written and verbal feedback   Desirable requirements: – Masters degree or relevant professional qualification in finance / taxation  – Fluency in Arabic is desired  – Exposure to / experience working in the Middle East is desired

      PwC firms help organizations and individuals to create the value they’re looking for.

      We’re a network of firms in 158 countries with close to 169,000 people who are committed to delivering quality in assurance, tax and advisory services. PwC is the brand under which member firms of PricewaterhouseCoopers International Limited (PwCIL) operate and provide services. Together, these firms form the global PwC network.

      In our 3 key areas of business or Lines of Service Assurance, Tax, and Advisory we work with our clients from business start ups to the worlds leading organizations to measure, protect and enhance the things that matter most to them.

      We help our own people to learn, discover, develop and make a real difference all the way through their working lives. And we have big ambitions to grow.

      PwC Middle East Region is part of what we call the Central Cluster and includes the UK, Europe and Africa as well as the Middle East. The region consists of 12 markets – UAE, Saudi Arabia, Qatar, Kuwait, Bahrain, Oman, Jordan, Lebanon, Egypt, Libya, Iraq and Palestine.

      PwC has been established in the region for over 40 years, we already employ over 4500 people and we are on course to become the Middle East number one professional service firm. More

    • 150 Shares159 Views

      in Job Posting

      Claims Officers | A Leading TPA (Third Party Administrator) in Medical Insurance

      by

      Employment:

      Full Time

      ? To issue online and verbal authorizations based upon member coverage & medical justification.? To assist queries from providers and payers via phone calls or e-mails? To maintain files for authorizations and other reports.? Assessing and processing claims in line with the policy coverage and medical necessity.? Be fully versed with medical insurance policies for various groups / beneficiaries.? Might be required to assist in training colleagues and sharing knowledge.? Able to accurately assess eligibility within the UAE (HAAD and DHA) guidelines as well as policy boundaries.? Monitoring and maintaining the claims processing and adjudicating cycle in operational software system as per the defined terms and policy of the organization.

      Salary:
      AED
      4,500 to 6,000
      per month inclusive of fixed allowances.
      Additional benefits: Annual ticket, medical and life insurance

      ? University degree in any discipline of Medical/Para-medical specialization from a reputable university.? Healthcare/Hospital experience for 1-2 years, in departments such as Surgery, ICU or GP, is required.? 1 – 2 years of work experience in the Insurance industry is preferable but not mandatory.? Excellent oral and written communication skills.? Must be computer literate.? Excellent command of the English language, Arabic is a definite plus.? Should be a team player with an aptitude for customer service. Must be service oriented.? Highly decisive with outstanding logic and reasoning skills.? Candidate must be tactful and discrete while dealing with Providers or Payers; must be able to handle confidential information.? Ability to work under pressure and meet tight deadlines and varying work-schedules.

      One of the leading “TPA” , Third Party Administrators in Medical Insurance ; a subsidiary of a fortune 20 Multi National Company , with extensive operation across GCC prospering over the last 18 years in facilitating our customers beyond their expectations in all services on par with global standards.

      We are committed in ensuring to provide high quality , superior, innovative and cost-effective business solutions in the areas of healthcare and insurance services and embrace the good will of being one among the best leading TPA’s in this region serving over 50 insurance companies , in administering their multiple policies as well as catering to self-funded schemes with both international and local policies amidst our stake holders.

      It is significant to share our accolades, that we serve more than 1.4 million members whilst administering over AED 4 billion worth of claims annually through a dedicated team of 700 + medical professionals in our talent pool from different parts of the world. We are partnered with a broad global network of over 4,000 health care providers in the region and always thrive to delight our customer through every service we provide remarkably.

      We believe in attracting dynamic , focused , self-motivated , professionals with industry expertise to join hands with us to move forward in a journey, which promises growth and career establishment as per each one’s skills and potential. More