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Contracting Specialist
Contracting Specialist
Job Purpose
To perform contracting-related activities and tasks on Dallah Health level.
Roles and Responsibilities
Key Accountabilities Areas
Organizational Accountabilities:
- Ensuring compliance with Commercial Affairs standards, protocols, rules and regulations.
- Ensuring accurate interpretation of contractual terms and conditions.
- Minimizing financial risks and revenue leakages through proper management of all contractual aspects.
- Performing data analysis and statistics where necessary.
- Keeping all contractual affairs records whether in-paper or electronically.
Functional Accountabilities:
Performing periodical reviews on all credit price lists.
Performing periodical reviews on all active contracts.
Negotiating with the insurance companies and TPA’s on adding new services, medical devices, milk products, hearing aids, imported medicines and any other items.
Working on insurance-related and TPA-related initiatives and special agreements (e.g. per diem).
Identifying improvement opportunities in contractual terms and conditions.
Supporting in contractual terms and conditions clarifications.
Drafting direct agreements or memorandums with non-insurance organizations.
Coordinating with relevant internal stakeholders in terms of contractual aspects.Requirements
Key Contacts
Key Internal Stakeholders:
- All staff members.
Key External Stakeholders:
- Insurance companies and TPAs
- Council of Cooperative Health Insurance (CCHI)
- NPHIES platform stakeholders
- Insurance companies.
- TPA’s.
Job Qualifications and Requirements
Knowledge and Experience
Relevant knowledge in healthcare and/or health insurance sector with a minimum related experience of one TO three years.
Education and Certifications
Bachelor’s Degree in Business Administration, Finance, Accounting, Economics, Insurance or any other related field (required).
RCMS (Revenue Cycle Specialist) Certificate or similar (preferred).
Data Analysis Certificate or similar (preferred).
Skills
Interpersonal skills (communication, problem-solving, creative thinking, leadership, etc.).
Negotiation skills.
Linguistic skills.
MS Office skills.
Risk management skills.
Legal and regulatory skills.
Data and financial analysis skills.
Project management skills.
Attention to details.
Stakeholders coordination and management.Attitude
Positive attitude.
Work ethics.
Honesty and integrity.
Self-motivation.
Learning and growth.
Confidence.Competency
Confidentiality.
Dependability and responsibility.
Adaptability.
Time Management.
Prioritization.
Communication.
Collaboration.
Market knowledge.
Analysis.
Compliance.
Languages
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