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MEDICAL OFFICER
Ref No.: 14-00134
Location: Abu Dhabi AE
Position Type:Contract
Start Date: 26/02/2014
Our client, a government sector dealing in oil and Gas Company is looking forward to recruit "Medical Officer
CONTRACT HIRE
Details
  • Close coordination with MOH, medical service providers, Hospitals/Clinics, emergency and other support services and with Medical department to ensure Company employees receive prompt and quality medical care.
  • Effective follow up and prompt resolution of all medical cases
  • To ensure that the medical services provided are responsive to the employees needs and requirements
  • Coordinating the processing of all medical cases and employee's medical claims with the medical service providers and Insurance Company to ensure employee/customer satisfaction
  • Regular liaison with Medical Department and Clinic for pre- employment medical examination, employee's medical check-up, medical case clarifications ,medical treatment abroad and disability payment
  • Regular visits and follow up of employees undergoing medical treatment in Hospitals as well as assisting employees families in critical medical cases
  • Coordination with Ministry of Health authorities on matters relating to preventive health care as well as with contracted hospitals regarding executive health check-up for senior management
  • Investigating and effectively resolving employee's complaints on medical services, reimbursements, insurance matters and medical treatment.
  • Reviews and evaluates all medical cases and sick leaves and prepares necessary reports and recommendation for management review.
  • Collects and maintains statistical data on a monthly basis and prepares periodic reports and updates as required
  • Participates in risk management, claim adjudication and pharmacy utilization, case reviews, site visit coordination and assessment of medical service providers
  • Promotes wellness and ensures that Health awareness programs and preventive care are consistent with the Department's plans and objectives.
  • Maintains up to date knowledge of new information in the medical field and their application to the Company's Health plan and Medical policy.
  • Assists in the contracting process of medical service providers, Insurance Company, hospitals, ancillary providers and emergency and other support services and in evaluation of the medical aspects of provider contracts.
  • Implements the health plan medical policies, goals and objectives and assures plan conformance with legal and regulatory requirements.
  • Collaborates with the Medical Department in creating and maintaining programs to achieve preventive health care, cost and quality outcomes.
  • Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network providers and plan participants
Minimum Requirements:
  • Aged 35 - 55
  • Bachelors in Public Health administration with recognized MOH certification.
  • 10 years' experience in medical health administration in a medical healthcare environment, MOH establishment.
  • Knowledge of medical and quality improvement practices in a managed medical care environment
  • Excellent verbal and written communication skills to interface with medical service providers, staff and management
  • Ability to manage difficult peer situations arising from medical care reviews with sensitivity towards the employee population
  • Ability to manage multiple priorities and deadlines in an expedient and decisive manner
  • Good analytical and problem solving skills with planning and organizing capabilities.
  • Strong Interpersonal skills with the ability to respond promptly to customer needs and meet commitments
  • Must be computer literate