Healthcare Services Adjudication & Referral Manager

Bupa Arabia; As Sudiyah; On-site; OMR 22,320 - 39,060; Full time

Job summary

Bupa Arabia is seeking a qualified candidate to work within the Medical Care Unit located in Al Buraymi, Oman. The role involves managing client interactions, facilitating referrals, and performing checkups while ensuring timely responses to internal and external stakeholders. The ideal candidate will hold an MBBS degree and possess strong analytical and communication skills. Familiarity with Microsoft Office and problem-solving abilities are essential. You'll be involved in process enhancements to improve service quality and decision-making.

Qualifications

• Strong follow-up skills in a high-pressure environment.
• Excellent ability to prioritize and execute tasks.
• Understanding of client management considerations.

Responsibilities

• Engage with unapproved cases and respond to queries.
• Facilitate client referrals and service availability.
• Validate checkup results before delivery to clients.
• Coordinate problem-solving with data analysts.
• Actively participate in process enhancements and innovations.

Skills

Logical, analytic, presentation, assessment and interpretation skills

Communication and negotiation skills

Microsoft Office knowledge

Multitasking under stress

Troubleshooting and problem-solving skills

Client management ability

Education

Degree in Medicine (MBBS)

Any degree in Business, insurance or quality management

Training in Excel, Data Management and Dashboards

Job description

Bupa Arabia is seeking a qualified candidate to work within the Medical Care Unit located in Al Buraymi, Oman. The role involves managing client interactions, facilitating referrals, and performing checkups while ensuring timely responses to internal and external stakeholders. The ideal candidate will hold an MBBS degree and possess strong analytical and communication skills. Familiarity with Microsoft Office and problem-solving abilities are essential. You'll be involved in process enhancements to improve service quality and decision-making.