Medical Provider Investigations Assistant Manager

NEXTCARE Claims Management LLC; Dubai; On-site; AED 60,000 - 120,000; Full time

Job summary

A leading healthcare service provider in Dubai is looking for an Assistant Manager for Medical Provider Performance. This role involves investigating healthcare fraud and abuse, developing preventive strategies, and collaborating across departments. Candidates must have an MBBS degree and experience in fraud detection, data analysis, and investigative methodologies. Strong organizational and communication skills are essential, as is expertise in analytical tools like Excel and Power BI.

Qualifications

• Proven experience in fraud detection and data analysis.
• Expertise in investigative methodologies.
• Strong strategic planning and organizational skills.

Responsibilities

• Conduct investigations into healthcare fraud and abuse.
• Develop strategies for fraud detection and prevention.
• Monitor provider claims for inconsistencies.
• Participate in audits and ensure provider compliance.

Skills

Fraud detection

Data analysis

Investigative methodologies

Effective communication

Strategic planning

Organizational skills

Excel

Power BI

Education

MBBS degree

Tools

Data analytics tools

Job description

A leading healthcare service provider in Dubai is looking for an Assistant Manager for Medical Provider Performance. This role involves investigating healthcare fraud and abuse, developing preventive strategies, and collaborating across departments. Candidates must have an MBBS degree and experience in fraud detection, data analysis, and investigative methodologies. Strong organizational and communication skills are essential, as is expertise in analytical tools like Excel and Power BI.