• Emirates UAE Careers | Medical Governance Specialist

    Emirates UAE Careers | Medical Governance Specialist

    Location: Dubai - United Arab Emirates

    Job Description

    The Medical Governance Specialist will work within the Medical Benefits team and will support medical governance operational activities including framework policies, adjudication guidelines, quality indices framework, and quality audit policies.

    Duties and Responsibilities

    Your main responsibilities in this role include the following:

    • Identify, research, develop and train medical and insurance decision making guidelines based on international best practice and evidence based medicine

    • Create and manage a database of references for claims, approvals and governance utilisation

    • Update quality framework and policies across all MB functionalities

    • Monitor and analyse trends across all towards sourcing reference for consistent decision making

    • Monitor and plot efficiency metrics

    • Oversee pricing matrix for network tariff

    Job Requirements

    • Educated to Bachelors level in Medicine

    • 5 years work experience with a minimum of 3 years in a clinical setting and 2 years in a medical insurance role

    • Computer literate, Proficiency in the MS Office Suite of Software (Excel/Word/Power Point).

    • Proficiency in written and spoken English.

    Job Details

    Company/Organization: Emirates

    Employment Type: Full-time

    Job Location: Dubai, United Arab Emirates