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      Medical Officer – Doctor – 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

    • 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

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      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

    • 100 Shares169 Views

      in Job Posting

      Software Developer | A Leading Company In UAE

      by

      Employment:

      Full Time

      • Responsible for the design, program unit test and functional test of software platform and server• Write well designed, testable, efficient code• Contribute in all phases of the development lifecycle• Working together with other teams to enhance the collaboration• Ensure technical projects can cover functional and stability• Involve in optimization and secondary development of the products to boost the operation of the business model• Run tests to identify design flaws and bugs, such as performing code reviews and performance analyses.

      Salary:
      AED
      10,000 to 30,000
      per month inclusive of fixed allowances.

      • Bachelor’s degree in Software Engineering, Computer Science or related field required• At least 4-year of Java-related developing experience• Strong experiences of Java backend based on Spring Boot, Spring Cloud, knowledge level on Spring Cloud Alibaba is a plus• RESTful APIs in a production environment experience with advanced HTTP and Swagger, producing & consuming service endpoints• Database: relevant experience with relational databases such as MySQL or PostgreSQL or Oracle• Test coverage: competent skills in unit and integration tests• Adequate knowledge of Continuous Integration/Deployment, and Docker are plus• Proactive, can work in a team or independently• Strong organizational, analytical and problem-solving skills• Strong Agile/Scrum development experience• English communication and Effective communication skills

      A leading company in UAE. More

    • 113 Shares149 Views

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      Secretary – Document Controller | Qatar Project Management (QPM)

      by

      Employment:

      Full Time

      – Implement comprehensive document control system on project site as per company’s EDMS system.- Ensure all project documentation is controlled in accordance with the company’s procedures for document control.- Control and administer incoming and outgoing documents (submittals, transmittals, specifications, drawings, isometrics, correspondences etc).- Copy and distribute drawings and documents to relevant parties on project site.- Prepare documents for technical proposals and clarifications for tendering projects.- Prepare necessary data reports for various project parties in timely and accurate manner.- Follow up for priority items with relevant managers, engineers, consultants and contractors.- Implement and monitor the use of various form set ups among project team members.- Coordinate with consultants and contractors to send and receive various reports, drawings, submittals and other outstanding issues.- Implement Communication Management Plan and Change Control Systems. – Establish centralized and efficient filing system.- Manage daily uploading and downloading of correspondence, drawings, transmittals and other documents.- Update all project spreadsheets.- Archive, copy, scan all project documents as per policy.- Convert drawings to various file formats and upload / file as required.- Coordinate with consultant and client for contractor submittals’ approvals.- Support organization-wide Project Management Information System. – Coordinate with Manager Document Control to ensure knowledge of EDMS and PMIS policy, procedures, reports etc used by QPM.- Ensure accurate and timely processing of data reports for head office as required.- Conduct periodic data checks and validation to ensure data accuracy.- Ensure timely transmission of approved project change orders to the concerned stakeholders as per Communication Management Plan.

      – Bachelor Degree in Computer Science or IT relevant course- More than 7 years of experience with document control- One or two EDMS systems – e.g Aconex, Expedition, Zylab- Well verse in Virtual Reality (VR) application, JAVA programming, and Artificial Intelligence (AI)- Types memos, letters, e-mails, and prepares documents and presentations according to requirements of the department.- Coordinates with the other employees/departments on behalf of the Operations Director/Project Director & Program Manager with regard to information gathering / sharing, and following-up.- Receives, reviews and processes documents for the Operations Director/Project Director & Program Manager’s review and signature/approval.

      Qatar Project Management (QPM) is an independent subsidiary of Barwa Real Estate Development Company that provides expertise in Project Management, Design Management, Construction Management, and Contract Administration together with other associated Project Management functions. Established in 2008, QPM is centralized platform for provision of Project Management services to Barwa and Qatari Diar as well as local and international markets. QPM provides these services through an in-house team of highly-skilled, motivated, and qualified professionals supported by state-of-the-art information technology and highly-effective Project Management systems. More

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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

    • 63 Shares129 Views

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      Back-End Developer | Propel Consult

      by

      Employment:

      Full Time

      Company:Our client is one of the leading digital assets companies that provide secure financial services across the GCC. They are currently looking to hire a Back-end Developer.Location: Remote – similar time-zoneResponsibilities:- Write effective, scalable code- Develop back-end components to improve responsiveness and overall performance- Integrate user-facing elements into applications- Test and debug programs- Improve functionality of existing systems- Implement security and data protection solutions- Assess and prioritize feature requests- Coordinate with internal teams to understand user requirements and provide technical solutions

      Relevant Experience:- Expertise in at least one popular Python framework (ideally Django)- Familiarity with Amazon Web Services (AWS), REST API and FIX Protocol APIs- Strong understanding of databases and SQL- Strong problem-solving skills- Bachelor’s Degree in Computer Science, Engineering or relevant field- English language proficiency required. Arabic is a plus- 4+ years of experience in Back-end development – Interest in crypto-assets

      Propel Consult delivers a service in step with the needs of both our client companies and candidates. Our ability to add value to all levels of recruitment stems from our wholehearted belief in providing a professional service to both parties.
      We have built relationships with many leading indigenous and mulitnational organisations throughout the Middle East and internationally in countries such as UAE, Qatar, Saudi Arabia, Oman, Bahrain, Kuwait, Egypt and many more.
      Concentrating our resources has created 5 distinct specialist divisions:

      Banking & Finance
      Human Resources
      Oil & Gas
      Construction
      Architecture & Engineering More

    • 100 Shares159 Views

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      Technology – Regional Sales Manager | CODA Talent

      by

      Employment:

      Full Time

      Technology – Regional Sales Manager, MEA – Digital Banking SolutionsAre you a high energy Sales hunter with a passion for digital banking and payments? Our client is growing fast, they are seeking, ambitious and energetic Sales Managers that will be responsible for driving the growth of the company’s Sales Pipeline and helping to ensure our success in multiple regions across Africa. Our client has a dynamic, team-oriented culture; their people have a ‘can do must do’ attitude. They offer a flexible, and an exciting working environment with plenty of opportunities to further develop as a professional and as an individual. The successful candidates will have proven successful experience within our regions. They will enrich existing relationships and build new relationships within the retail banking industry and drive customer acquisition in this region. The successful candidates will have a passion for digital banking and payments with proven records in solution selling in this region.Key Responsibilities:• Develop and execute plan to achieve sales targets within your region and expand their customer base• Identify, drive and close new business through direct sales• Identify and qualify business opportunities, making regular sales call to develop relationships and following up on sales leads.• Maintain up to date knowledge of industry trends and regulations that effect the target markets• Develop close relationships with prospects in order to understand potential customers business needs, objectives, buying criteria and process• Prepare formal proposals and present to all levels of the organization including executive level• Lead negotiations, co-ordinate decision making process, overcome obstacles and close sales in a professional and effective manner• Responsible for territory planning through research, development and maintenance of long- and short-range sales and marketing plans• Provide accurate weekly forecasts for your business• Meet or exceed sales quota and revenue goals• Promote and ensure good working relationships are maintained with customers and colleagues alike

      Key Skills:• In-depth knowledge of the financial services industry; the trends, challenges, and innovations.• Successful track record in high value complex software sales• Ability to analyze, understand and articulate our product and value proposition- a consultative sales approach• Comfortable presenting in high pressure situations as part of the new business sales process as well large conference presentations• Business skills, ability to think at a business level and position our product in a business context• Capacity to think strategically, with the ability to grow the business through compelling value propositions• A passion for Sales Hunting and creating an impact• Entrepreneurial ‘’Can do’’ mind set• Proficient in PowerPoint and Excel with the ability to construct logical and professional customer facing proposals and presentationsPersonal attributes of the candidate:• Passionate Salesperson with ‘’Hunter DNA’’• Strong motivated leader who is proactive, energetic, organized and thinks creatively and thrives in fast paced environment• Ability to communicate, present and influence all levels of the organisation including executive and C-level• Articulate communicator, ability to present ideas clearly and precisely with concise attention to detail to both peers and colleagues alike• Good listener, the ability to listen effectively and to consider input from colleagues and peers alike• Self-reliant, the ability to work without close supervision and address problems in a collaborative environment.• Good problem-solving abilities with the ability to identify and contribute to solutions for the company in a collaborative environment.

      CODA Talent is a global search consultancy built on the fundamental belief that “people are our greatest asset.” With over a couple of decades of experience, CODA has a solid understanding of how-to do-good business. Our network is global and consists of Directors, CEO’s, VP’s, Senior Managers and Business Leaders. We pride ourselves on securing top talent for business-critical positions often in difficult to fill territories on a permanent, freelance or fixed term contract basis.

      CODA’s innovative talent solutions utilize the key elements of Contingency and Executive search tailored to the specific requirements of our clients. We support the ‘Nationalization Drive’ which is a key component of the ‘social inclusion’ agenda of many countries today. Our clients see the need to work with a focused and truly dedicated partner to identify the best talent. Across the globe we support public and private sector organisations with experienced national hires from within our network who we have worked with over the years.

      CODA also supports Women in Leadership: With extensive experience of connecting people we have had the privilege to meet and network with some of the most talented women across the globe. From Leadership to Entrepreneurship to Technology, CODA Talent plays an active role in the identification of key women who are making a remarkable impact in the industry. We support women to achieve their full potential and we encourage our partners to be a part of this initiative. More