Job Description

We are looking for a Provider Network Officer to ensure top-tier care quality across our network. The ideal candidate will be responsible for managing the hospital’s relationships, contracts, tariffs, empanelment, credentialing, renewals, and service activation with insurance companies and TPAs. The role will ensure that the hospital, physicians, specialties, services, and tariffs are correctly registered, approved, renewed, mapped, and communicated to all relevant departments.

Responsibilities:-
· Manage insurance contracts, tariffs, payer networks, renewals, amendments, and tariff negotiations with insurance companies and TPAs.
· Maintain accurate payer, network, tariff, and contract databases, ensuring timely updates and compliance with agreed terms.
· Oversee physician credentialing, empanelment, activation, renewals, and regulatory documentation, coordinating with relevant departments to maintain compliance.
· Provide insurance-related guidance, training, and updates to front-office and operational teams on eligibility, network verification, approvals, referrals, and payer requirements.
· Serve as the primary liaison with payers and TPAs, maintaining professional relationships, attending negotiations and meetings, and escalating unresolved issues when necessary.
· Maintain complete documentation of contracts, tariffs, credentialing records, approvals, and correspondence while ensuring compliance with UAE healthcare insurance regulations and hospital policies.

Required Qualifications and Experience:-
· Bachelor’s degree in Healthcare Management, Business Administration, Finance, Insurance, or a related field.
· Minimum 1 year of experience in healthcare insurance contracting, provider network management, credentialing, or revenue cycle management; UAE healthcare experience preferred.
· Strong knowledge of UAE insurance networks, payer contracts, tariffs, physician credentialing, eligibility, and authorization processes.
· Experience in contract renewals, tariff negotiations, provider onboarding, and network management.
· Good understanding of registration, eligibility verification, billing, and claims processes.
· Strong negotiation, communication, stakeholder management, and training skills.
· Proficient in Microsoft Office applications, payer portals, and hospital information systems.
· Excellent organizational skills with the ability to manage multiple contracts, deadlines, and documentation requirements.