Utilization Review & Cost Optimization Specialist

Nextcare; Dubai; On-site; AED 223,200 - 334,800; Full time

Job summary

Nextcare is seeking a Case Management Utilization Review Specialist in Dubai to manage high-cost cases, ensuring compliance with departmental goals. Responsibilities include liaising with teams to develop protocols, evaluating case management performance, and achieving monthly savings targets. The ideal candidate holds a Bachelor’s of Medicine (MBBS) and has over 5 years of medical experience, ideally within insurance. Proficiency in MS Office is essential, and candidates must be legally permitted to work in the UAE.

Qualifications

• 5+ years of medical practical experience, preferably with an insurance provider.
• Legally permitted to work in the UAE.
• Physically fit to carry out duties.

Responsibilities

• Liaise with the Case Management team to develop case management protocols.
• Manage high risk and long stay cases to ensure compliance.
• Achieve monthly savings target of AED 1M.

Skills

Medical practical experience

Fluency in MS Office

Knowledge of insurance industry practices

Education

Bachelor’s of Medicine (MBBS)

Job description

Nextcare is seeking a Case Management Utilization Review Specialist in Dubai to manage high-cost cases, ensuring compliance with departmental goals. Responsibilities include liaising with teams to develop protocols, evaluating case management performance, and achieving monthly savings targets. The ideal candidate holds a Bachelor’s of Medicine (MBBS) and has over 5 years of medical experience, ideally within insurance. Proficiency in MS Office is essential, and candidates must be legally permitted to work in the UAE.