Network Auditor (Medical Background) - Pelican Migration Consultants-Dubai
Dubai -Description: Position Summary Conduct provider audits of medical records and perform all related activities. Contribute to developing and maintaining effective and efficient mechanisms to control potential leakage. Record findings and issues and maintain accurate logs in a timely manner. Fundamental Responsibilities & Requirements Travel to providers and conducting onsite medical record audits. Collaborate with regional network audits on training, process, automation, enhancements and quality improvements. Review and analyze of cases within audit criteria. Plan, organize and schedule audit appointments and visits to providers. Collect information and documents supporting audit findings. Prepare and store case files in a safe, secure location as per Aetna policy. Communicate with claims team / vendors on rejection and monitor outcome. Give feedback for issues/concerns. Coordinate with provider and Claims team on audit rejections and special negotiated discounts for large amount IP case. Oversee claim reconciliation for all audited cases. Prepare reports and cost savings analyses in a timely manner for various audiences (management etc.)business reporting. Work with management to draft, clarify and recommend changes to policies which impact network management. Support projects, cross regional coordination and Ad-hoc tasks as assigned. Identify and share market information on opportunities and threats to Aetna Network. Background/Experience Desired Experience in a Clinical or Medical Environment development. Experience in healthcare industry and strong implementation experience desirable. Health insurance experience in claims area (preferably with approvals). Billing experience in a medical provider. Education and Certification Requirements Clinical qualification like doctor or nurse preferred. Master Degree preferred—preferably in Business, Finance, Engineering, Supply Chain Management and/or related field. Fluent in English language with good communication skills. 63087 Potential Telework Position: No
GP ( Medical )/RN/DENTAL ASSISTANT/INSURANCE COORDINATOR - Clinics in DUBAI-Dubai
Dubai -Vacancy for GP ( Medical) / Nurse RN & AN , Dental Assistant with DHA license/ eligibility , and Insurance Coordinator for Polyclinics in Dubai -. Send Cv to hrhcuae at gmail dot com
Principal Head of School - Emirates Education High School-Dubai
Dubai -AED20,000 - AED25,000 a monthDubai - EMPLOYMENT OPPORTUNITY (United Arab Emirates)Opportunity: Principal English Academy Dubai - (2 positions)Great chance for the right person to enter Dubai -. (September 2019))24 month contract, with housing and basic / standard family benefits (renewable) + ticket + annual leave + basic insurance etc.20-25,000 AED Per Month + Housing depending on experience and credentials.Seasoned Principal required to run school against KHDA requirementsIdeal Candidate will have 10+ years school leadership a UK based school against OfstedProven track record of school administration, teacher training, and leadershipFamiliar with O-A level Cambridge and curriculum alignment / developmentInternational Experience is a Plus and much valued (i.e. GCC experience)Multi-lingual candidates is valued + respect for islamic/arabic cultureComputer Ability / EdTech skills must be up to parBe willing to handle teacher and parent requirements for a school of about 2,000 students, 143 teaching / staff + +Ideal candidate will be a PhD or Masters with proven track record.All candidates will undergo full security / attestation of papers etc.Candidates will be working in beautiful sunny Dubai - with on campus resident.Required:- Photo + CV- Cover Letter addressing Management Style : Leadership Profile- 3 Letters of Recommendation (optional, but not required)- email to ahmad (at) emirates (dot) education - typed exactly like this- Further questions: 00971-50-111-0305 (WhatsApp)Job Type: Full-timeSalary: AED20,000.00 to AED25,000.00 /monthExperience:supervisory: 5 years (Preferred)
Education:Master's (Required)Location:Dubai - (Preferred)
Language:English (Required)