Manager – Clinical Excellence (TPA) - Pipeline

SupportFinity™; Saudi Arabia; On-site; SAR 180,000 - 280,000; Full time

Job summary

Bupa Arabia is seeking a Manager - Clinical Excellence (TPA) to lead patient-centered services across the covered network and ensure high-quality medical care. The role focuses on delivering superior patient experience during the healthcare journey and coordinating with hospitals and providers.

The position requires 3–5 years in healthcare, a MBBS/MD/DO qualification, and strong interpersonal and communication skills.

Qualifications

• Bachelor's degree MBBS/MD/DO or equivalent medical qualification.
• 3-5 years healthcare sector experience preferred.

Responsibilities

• Engage with inpatients and their families to address hospital-related concerns.
• Collaborate with cross-functional stakeholders to support appropriate treatment and care.
• Ensure consistent reporting of daily medical outcomes and notes for all patients.
• Identify issues and act proactively to avoid negative impact.
• Coordinate with hospital teams to ensure seamless patient care and address challenges.

Skills

Interpersonal skills

Communication

Time management

Adaptability

Multi-tasking

Clinical practice

Education

Bachelor's degree MBBS/MD/DO

Job description

Manager - Clinical Excellence (TPA) - Pipeline

Bupa Arabia | Posted Mar 10

Full-time

Negotiable

Unknown

Job Description

To deliver TPA patient-centered services within clinical excellence covered network and provide quality medical care to ensure positive patient experience during their healthcare journey

Patient-Centered Service

• Engage with inpatients and their families to swiftly address any hospital related concerns or issues.
• Collaborate with cross-functional stakeholders to support appropriate and effective treatment and care.
• Ensure the consistent reporting of daily medical outcomes and notes for all patients
• Manage members and hospital staff feedback and provide resolution
• Identify possible issues and act proactively for solutions to avoid a negative impact

Clinical Excellence

• Oversee hospital medical services and adherence to clinical standards
• Monitor excellence in inpatient services to enhance clinical outcomes
• Identify negative impact and critical issues with Provider's Medical management as they arise

Stakeholder Collaboration

• hospitals and support their professional development.
• Collaborate with healthcare consultants and providers to align case management plans with contractual clinical pathways.
• Ensure hospitals are compliant with the agreed standards of service delivery with Bupa
• Coordinate with hospital teams to ensure seamless patient care and address any challenges or issues that may arise

Skills

• Interpersonal and communication skills
• Ability to work under pressure
• Adaptability
• Time management
• Multi tasking skills
• Complete work timely and accurately
• Strong understanding of clinical practices and healthcare operations.
• Commercial skills
• Service oriented
• 3 - 5 years preferrably in healthcare sector

Bachelor's Degree in MBBS/MD/DO