Bupa Arabia

Small hospital in western Colorado is seeking a passionate and caring Nurse Case Manager (RN or LPN)for their Great benefits, beautiful facility, and amazing team culture to be a part of!Nurse Case Manager Salary Range:RN - $ - $LPN - $ - $Nurse Case Manager Duties:Nurse Case Manager More...

Maintain a thorough knowledge of all departments, Bupa Arabia network, products, and services so that GS are provided accurate information on networks, treatments, paperwork requirements, and general queries. Resolve and input provider/GS requests into CRM according to established More...

Follow customer service procedures as outlined in the manual to comply with the department’s procedures and standards Follow up on all customer requests such as but not limited to admission, medication, lab, radiology, etc. Maintain a thorough knowledge of all departments, o More...

Manage members’ experience with the relevant functions to ensure that services are delivered end to end for the members in every touch point of their journey on a timely manner and being the main point of contact including off-site customer interaction. Collaborate with cross More...

Follow set KPI’s by team leader for number of calls, visits and proposals. Plan and execute the field sales activities to achieve set target in line with AOP. Search for new leads by different sources (Net – calls – territory Management – Referrals – More...

Apply VIP & customer care policies and procedures, according to department KPIs. Full implantation of different Bupa products, values and policies, to reflect Bupa images in front of the customer. Handling the daily received cases by customer care email, fax, visits or the cal More...

Work with key stakeholders to understand technical requirements to be developed for a global, scalable ecommerce platform Develop clear and accurate Technical Design Documents (TDD) to define clearly and in detail the CRM platform technical design using the best architecture princi More...

Carries out surveys of functions including: Background information, control questionnaire, bench-marking best practice and carrying out assessment activities in assigned areas to determine the nature of operations and adequacy of the system of control to achieve audit objectives. I More...

Set the targets aligned with the overall forecast. Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control and drop it year after year. Plan for reconciliation meetings, this will include scheduling meetings, coordination with me More...

Manage client relationships, identifying opportunities for new contracts. Analyze data and create reports to identify areas of business growth. Monitor local and federal regulations. Bid on new projects and negotiate contract terms. Recruit and oversee contractors and vendors.

Perform cybersecurity reviews and identify gaps in security architecture, to develop cybersecurity risk management plans Provide input to the risk management framework and related documentation. Employ secure configuration management processes. Identify and prioritize critical bu More...

Work with sales management team on target alignment to ensure on-time fulfillment delivery as per BUPA service and quality standards. Handle all cases received from RM's with high quality and ensure proper resolution within the KPI's. Liaise with required functional teams More...

Understand the PMI (Private Medical Insurance) market dynamics and competition trends and present the yearly plan accordingly Balance won book between competitors Balance book mix between direct business and brokers business within company direction Balance book distribution per More...

Define criteria for flagging of cases within the different business functions Develop an operational mechanism to handle cases with the medical back office managers Assist in managing the live cases with the medical back office managers Develop a reporting mechanism to the medica More...

Liaise with medical and non-medical staff at providers to ensure quality healthcare service for our members Conduct Outbound calls to our members for Chronic Diseases doing Coaching , Medication Refill & case management through case interpretation or doing promotional calls Re More...

Prepare Request for Quotations for pricing team. Prepare Proposals and contracts. Follow up the completion and compliance of the data received by clients. Follow up end to end process with operation till cards delivery. Processing Sage CRM tasks “A-Z” (Opening opport More...

Receive inquiries from the members regarding their membership. Online claim submission through Bupa Arabia Channels or submit the claim in-person in with the original documents to claim department in Bupa Arabia head offices. Provide proper follow up for ongoing and pending inquir More...

Manage 3rd party to delivery monthly KPIs on time and with quality. Review quality measures and highlight any information gaps / strategic actions Parallel listening of 30-40 of telephonic interviews on a monthly basis for quality assurance of Health tracker Ensure robust samplin More...

Verify each stated vacancy against the actual head count for the relevant department to avoid unnecessary recruitment costs Full cycle recruiting from beginning to end: sourcing, phone screening, interviewing, offers, background check, etc. Work with a high-volume number of requis More...

Building, maintaining and enhancing relationship with clients to develop long term satisfaction Meet weekly sales calls and complete reporting in a timely manner Handle customer needs with reliability and be responsive in providing prompt service Renew with the proposed prices (i More...

Manage members’ experience with the relevant functions to ensure that services are delivered end to end for the members in every touch point of their journey on a timely manner and being the main point of contact including off-site customer interaction. Collaborate with cross More...

Supervise the actuarial function in meeting regulatory deadlines, and Bupa’s technical SPOC to all actuarial related queries. Engage with external partners to ensure adequate model is in place and replicate it for internal use and facilitate best practice Improve reporting q More...

Assure that each Outpatient claim has been processed as per the checklist of steps involving checking of physical claim (or scanned image on the document management system), and cross checking with the electronic claims data on CAESAR, and . reflecting the right decision for every c More...

Work with sales management team on target alignment to ensure on-time fulfillment delivery as per BUPA service and quality standards. Handle all cases received from RM's with high quality and ensure proper resolution within the KPI's. Liaise with required functional teams More...