Healthcare Insurance SME

Job Description and Requirements
Required Technical and Professional Expertise
Minimum 15 years experience in the Health Insurance industry
Strong communication skills
Experience of building lasting client partnerships and managing vendor relationships
expertise in Eligibility Management, Prior Authorization, Claims Management, Payment Management
ability to define Terminology Standards for Payors and TPAs
demonstrated in-depth understanding of HL7 FHIR or similar resources for financial management
demonstrated ability to implement healthcare insurance roadmaps and strategies
ability to translate technical requirements into functional specifications
experience in shaping strategies for both provider and payor organizations
understanding of clinical coding improvement, physician documentation improvement
understanding of payor contract management and e-pharmacy setup
Preferred Tech and Prof Experience
Minimum 15 years experience in the Health Insurance industry
Strong communication skills
Experience of building lasting client partnerships and managing vendor relationships
expertise in Eligibility Management, Prior Authorization, Claims Management, Payment Management
ability to define Terminology Standards for Payors and TPAs
demonstrated in-depth understanding of HL7 FHIR or similar resources for financial management
demonstrated ability to implement healthcare insurance roadmaps and strategies
ability to translate technical requirements into functional specifications
experience in shaping strategies for both provider and payor organizations
understanding of clinical coding improvement, physician documentation improvement
understanding of payor contract management and e-pharmacy setup

*** تقدم على الرابط التالي : Apply on the following link ***
https://www.akhtaboot.com/en/saudi-arabia/jobs/riyadh/110551-Healthcare-Insurance-SME-at-IBM-