Qureos Mentor

Center for National Health Insurance (CNHI)

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 KEY RESPONSIBILITIES
 
 
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 Oversee the design and implementation of Health Benefit Package policies, procedures, and controls covering all areas of assigned Health Benefit Package activity and provide continuous improvement recommendations.
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 Ensure the development of the Health Benefit Package strategic and operational plans, in alignment to CNHI's strategy, vision, mission, and corporate objectives.
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 Direct the development of Health Benefit Package objectives and goals by setting departmental objectives, managing performance, developing, and motivating employees to maximize functional performance.
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 Ensure identifying the management needs of competencies and talents and provides recommendations with regards to human resources decisions.
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 Ensure that all Health Benefit Package reports are prepared timely and accurately and meet the requirements, policies, and quality standards.
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 Delegate duties, responsibilities, and authorities to appropriate team members within the business in case of absence.
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 Identify opportunities for continuous improvement of Health Benefit Package and practices taking into consideration leading practices, efficiency and productivity improvement.
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 Ensure compliance with all applicable laws, rules, regulations and standards within CNHI and related functions.
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 Lead the approved benefit coverage and service utilization guidelines across all clusters
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 Monitor delivery performance of the benefits package to detect inefficiencies, overuse, underuse, or service disparities
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 Coordinate with internal stakeholders and cluster teams to ensure consistent application of benefit policies and coverage standards
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 Lead the development of HBP guidance, including service coverage criteria, exclusions, and limits, to ensure alignment with beneficiary needs and system objectives.
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 Oversee the maintenance and enhancement of benefit package management tools to ensure operational accuracy and data integrity
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 Prepare regular reports on benefit utilization, performance metrics, and recommendations to support evidence-based policy updates
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 QUALIFICATIONS / REQUIREMENTS
 
 
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 7+ years in health benefits design, utilization management, or healthcare policy, with at least 2 years in a supervisory or managerial role
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 Bachelor&rsquo;s degree in Healthcare Management, Public Health, Health Policy, or related field; Master&rsquo;s degree preferred
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 Strong understanding of health benefit package design, healthcare financing, and utilization management
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 Familiarity with healthcare policy frameworks, coverage criteria, and cost-control strategies
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 Must Be Saudi
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Health Benefits Package Manager

Join Center for National Health Insurance (CNHI) and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Center for National Health Insurance (CNHI)

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Health Benefits Package Manager