Senior Manager - Payment Relations

Dammam - Saudi Arabia

Monthly Salary: 15000 - 15000

Posted on: 5 hours ago

Vacancies: 1 Vacancy

Job Summary

Our client in Saudi Arabia is seeking a highly experienced and skilled person for the position of Senior Manager Payment Relations.

To ensure that strategic objectives related to payers and relevant stakeholders are met through effective negotiations strategic relationship management and business development to grow the business and strengthen the position in the market with the defined geographical scope.

Key Responsibilities:

1. Management of payer relations (contracting pricing models networks market differentiation in line with overall strategy) target insurance market to sustain business engagement with regulators

2. Effectively negotiate commercial terms with payers

3. Pricing governance and related management of updates to mitigate the direct financial impact on the business

ICT team guided in updating systems with agreed terms

Guidance to RCM and Operations

Govern and ensure updates implemented accurately

Manage through communication updates on insurance systems

4. Establish and maintain mutually beneficial strategic business relationships

5. Identify and manage risks associated with payer contracts

6. Provide support in the conceptualisation and overall strategic direction of current business in terms of payer management and related tariffs volumes and profitability

7. Identify analyse compile statistics and proactively manage complex markets industry and payer

evolutionary trends (including competitor threats)

8. Identify strategic partners/payers to proactively influence benefit design volume growth and network development to the benefit of business units

9. Negotiate establish and manage payer agreements

10. Assist with tariff structures and Alternative Reimbursement Models to ensure effective application within the business.

Provide support with the customization of reports including quality outcomes patient satisfaction and financial reports (specified and presented to influence clients)

Requirements

5 10 years relevant experience in healthcare or the healthcare insurance industry in the GCC.
Degree in medical science finance or accounting from an accredited institution
Knowledge of the KSA or GCC Healthcare industry including relevant regulatory requirements related to insurance
Knowledge of medical terminology and procedures
Finance acumen and business awareness.
Knowledge of the payer environment including relevant policies and processes applicable to the industry
Knowledge of tariff structures and alternative reimbursement models
Excellent verbal and written communication skills (Arabic will be an advantage)

WORK LOCATION SAUDI ARABIA.

Follow the Black Pearl channel on WhatsApp.

To view other vacancies we have please check our website () and follow us on our social media accounts LinkedIn / Facebook / Twitter / Instagram

Disclaimer: Black Pearl will never ask for money or any form to charge our candidates just to process or consider their application for any of our available vacancies. If you happen to receive such a request from any members of our staff or other individuals claiming to be part of Black Pearl please do call our office ator drop us a message on our website .

Our client in Saudi Arabia is seeking a highly experienced and skilled person for the position of Senior Manager Payment Relations.To ensure that strategic objectives related to payers and relevant stakeholders are met through effective negotiations strategic relationship management and business de...

Our client in Saudi Arabia is seeking a highly experienced and skilled person for the position of Senior Manager Payment Relations.

Key Responsibilities:

1. Management of payer relations (contracting pricing models networks market differentiation in line with overall strategy) target insurance market to sustain business engagement with regulators

2. Effectively negotiate commercial terms with payers

3. Pricing governance and related management of updates to mitigate the direct financial impact on the business

ICT team guided in updating systems with agreed terms

Guidance to RCM and Operations

Govern and ensure updates implemented accurately

Manage through communication updates on insurance systems

4. Establish and maintain mutually beneficial strategic business relationships

5. Identify and manage risks associated with payer contracts

6. Provide support in the conceptualisation and overall strategic direction of current business in terms of payer management and related tariffs volumes and profitability

7. Identify analyse compile statistics and proactively manage complex markets industry and payer

evolutionary trends (including competitor threats)

8. Identify strategic partners/payers to proactively influence benefit design volume growth and network development to the benefit of business units

9. Negotiate establish and manage payer agreements

10. Assist with tariff structures and Alternative Reimbursement Models to ensure effective application within the business.

Provide support with the customization of reports including quality outcomes patient satisfaction and financial reports (specified and presented to influence clients)

Requirements

5 10 years relevant experience in healthcare or the healthcare insurance industry in the GCC.
Degree in medical science finance or accounting from an accredited institution
Knowledge of the KSA or GCC Healthcare industry including relevant regulatory requirements related to insurance
Knowledge of medical terminology and procedures
Finance acumen and business awareness.
Knowledge of the payer environment including relevant policies and processes applicable to the industry
Knowledge of tariff structures and alternative reimbursement models
Excellent verbal and written communication skills (Arabic will be an advantage)

WORK LOCATION SAUDI ARABIA.

Follow the Black Pearl channel on WhatsApp.

To view other vacancies we have please check our website () and follow us on our social media accounts LinkedIn / Facebook / Twitter / Instagram

Key Skills

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About Company

Black Pearl Consult

Black Pearl is a progressive, dynamic and well structured HR solution provider that offers permanent recruitment services, HR consultancy, psychometric assessments, coaching and also professional training services for clients from different corporate sectors in the Middle East. Like a ... View more

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Senior Manager - Payment Relations

Dammam - Saudi Arabia

Job Summary

Key Responsibilities:

Requirements

Requirements

Key Responsibilities:

Requirements

Requirements

Key Skills

About Company

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