Data Reporting Manag....
Data Reporting Manager (tpa)
Posted on :
02-09-2021
Employer Active
1 Vacancy
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Jobs by Experience
0 - 8 years
Monthly Salary
SAR 6000 - 10000
Nationality
Any Nationality
Gender
N/A
Vacancy
1 Vacancy
Posted on :
02-09-2021
Job Description
Req ID : 713538
- Manage the design and enhancement of TPA Net Billed Summary models capable of drilling claims analysis with relevant provider details, member details and any other aditional required details.
- Responsible for buidling and updating the TPA pre funding report for all regions and reporting the projected claims amount to TPA customers on a monthly basis
- Project and enhance the cost per member model
- Update the financials of the TPA custom reporting dashboard summary on a quarterly basis.
- Arrange relevant report packages and analysis for all business aspects
- Administer the financial reconciliation process for providers to ensure accuracy of statements.
- Approves the daily provider payments prepared by the team before submitting to Finance Operations for payment accuracy
- Manage the financial reconciliation process for providers
- Analyze data, interpret results and indicate the reliability of findings of key forecasting trends for providers
- Regulatory & External Audit Ensure that the reporting system and provider payments are well supported by documents through policies & procedures to be ready for the TPA external audit People Development
- Manage 1 senior officer. Responsible for his/her career planning and growth in the company.
- Conduct ongoing 1:1 session and coaching.
Employment Type
Full Time
Company Industry
Department / Functional Area
Key Skills
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