Telemedicine,Revenue cycle Management ment Director
Royal Commission Hospital
Total des années d'expérience :27 years, 0 Mois
• Manage sales & portfolio growth.
• Manage Preauthorization, Network and Claims departments.
• Manage Medical Underwriting & Re-Insurance Department.
• Manage CCHI communications and regulations.
• Manage Anti-Fraud and Medical Abuse Department.
• Manage Clinical Pathways Department.
• Manage Business Development Department.
• Manage Case Management team and utilization review...
• Manage Quality & Performance Improvement Department.
• Manage Hospital Excellence team.
• Manage Costing and Pricing Department.
• Manage ICD-10 Coding Department.
• Contribute to identifying the organization’s vision, mission and corporate strategy
• Contribute to developing the organization’s internal and external brands and market positioning Consolidate and review the business and manpower plans and budgets, and forward to the direct line manager for further approval
• Allocate and control the operational budget, approve significant decisions relating to expenditure
• Ensure the compliance of the division with Governance, Risk Management.
• Monitor staff achievements, perform periodic performance appraisals, and provide guidance or coaching to direct reports
• Review periodic performance reports for medical department.
• Collaborate with COO and top management to align plans and strategies for support, production and sales functions.
• Advise and approve the pricing of exceptional risks, in line with the corporate underwriting policy and the risk appetite expressed by the Board.
• Present and participate in Board and Management committees relating to risk, reporting and changes in the product portfolio
• Make quarterly review of business unit’s performance and discuss it in Business Management Committee.
Medical Insurance Manager
Director
Manager /Claims