The Medical Operations Executive plays a crucial role in ensuring the smooth and efficient functioning of medical operations. This position is responsible for managing approval issues facilitating reimbursement requests and conducting indepth portfolio analysis to generate consumption reports.
1.Manage approval issues and solve them according to medical guidelines and policy schedule.
2. Submit reimbursement requests and assist members in following up on their requests.
3. Perform portfolio analysis assessment and analysis for consumption reports.
Requirements
Bachelors degree in healthcare administrationpharmacy medicine or a related field
Minimum 13 years of experience in a medical operations (Approvals/Claims) or healthcare management role
Proven track record in problemsolving negotiation and customer service
Excellent written and verbal communication skills
Proficiency in data analysis and reporting
Strong attention to detail and the ability to multitask in a fastpaced environment