Manager - Integrated Care Services (TPA)

Job Description

Responsible for delivering medical engagement Department’s strategies for an assigned population through various communication channels. This role requires a deep understanding of healthcare, digital technologies, and patient engagement to ensure effective communication and support for the target population.

Population & Data Analysis

• Identify specific healthcare challenges and opportunities within the population.
• Develop profiles or personas of the target population to better understand their unique requirements.
• Utilize data analytics to monitor the effectiveness & overall engagement.
• Get involved in data-driven decisions to optimize engagement efforts
  
  

Compliance and Quality Assurance

• Ensure compliance with healthcare regulations and industry standards.
• Implement quality assurance processes to maintain high standards of care.
  
  

Patient Education & Team Cooperation

• Develop and deliver educational material and resources to empower patients with the necessary tools thtat aid them in making informed healthcare decisions.
• Provide guidance and support to other team members whenever needed.
• Adopt a collaborative and inclusive mindset & team culture.
• Ensuring task accomplishments on time despite team’s bearable challenges.
  
  

Performance Metrics & Cost Awarness

• Define and track key performance indicators (KPIs) to measure the success of medical engagement initiatives.
• Adjust strategies based on KPI outcomes.
• Manage the cost allocated for medical engagement initiatives, ensuring cost-effectiveness and efficiency.
• Support in managing the cost allocated for medical engagement initiatives, ensuring cost effectiveness and efficiency.
  
  

Medical / Digital Services Management

• Manging the front door engagement channels which include:
• Medication Refill.
• Home-Based Lab.
• Home Healthcare Services Support.
• Medical Report Interpretation.
• Lab Results Interpretation.
• Mobile Application Functions.
• Electronic Health Records.
• Symptoms Checker.
• Medical Chat Bot.
• Telemedicine Scheduling Support
• Remote Patient Monitoring Support.
• Digital Patient Engagement.
• E-Care Engagement.
• Providing medical services on daily basis through the following channels:
• Inbound/Outbound Calls.
• Backend Platform/Bupa App Services.
• Doctor Chat Bot.
• Email Support.
  
  

Stakeholder Collaboration

• Collaborate with healthcare providers, specialists, and partners to ensure a seamless patient experience.
• Sustain an excellent relationships with key stakeholders to improve medical engagement.
  
  

Skills

• Extensive experience in healthcare management and patient engagement.
• Strong leadership and time manamgement skills.
• Proficiency in digital healthcare technologies.
• Excelent communication and interpersonal skills.
• Knowledge of healthcare regulations and compliance requirements.
• Valid Saudi Commision for Health Specialty (SCFHS) lisence.
  
  

Education

Medical Degree (Bachelor).