Job Description

Key Responsibilities

Payer Network Management & Coordination

• Support payer onboarding and credentialing activities in compliance with regulatory and payer requirements.
• Maintain and update insurance network participation records and payer databases.
• Coordinate documentation required for network applications, renewals, and re-credentialing processes.
• Track contract approvals, renewals, and expirations, and follow up with insurance partners as required.
• Assist with the submission and management of payer network applications.

Tariff & Contract Administration

• Maintain an accurate repository of contracts, tariffs, and historical pricing records.
• Support tariff revisions, updates, and tracking activities.
• Coordinate with Revenue Cycle and Billing teams regarding cash price lists and payer tariff updates.
• Maintain records of contract terms, exclusions, special agreements, and validity periods.

Stakeholder Management

• Serve as a point of contact for internal teams regarding network participation, contract details, and payer-related queries.
• Liaise with Revenue Cycle, Finance, Legal, Clinical, and Operational teams to facilitate timely resolutions.
• Coordinate meetings, discussions, and communications with insurance companies, TPAs, and corporate partners.

Reporting & Documentation

• Maintain trackers, dashboards, and activity logs for payer-related initiatives.
• Prepare reports and summaries on contracting progress, network coverage, and key performance indicators.
• Ensure all contracts, credentialing documents, and payer correspondence are maintained accurately and in an auditable manner.

Requirements

• Bachelor’s degree in Business Administration, Healthcare Management, or a related field.
• Minimum 3 years of experience in healthcare revenue cycle management, provider network management, healthcare contracting, or a related function.
• Good understanding of UAE health insurance regulations, payer operations, and provider contracting processes.
• Strong organizational skills with excellent attention to detail and accuracy.
• Excellent communication and stakeholder management skills.
• Proficiency in Microsoft Office applications, particularly Excel, Word, and Outlook.
• Ability to manage multiple priorities effectively in a fast-paced healthcare environment.
• Arabic-speaking candidates will be preferred to support market and business requirements.