COO & Business Development Manager
Al Ezdihar Medical Company LLC
Total des années d'expérience :24 years, 1 Mois
• Independently lead end-to-end project management, demonstrating ownership of the entire process from beginning to end.
• Manage projects across multiple cross functional teams (e.g., Analytics, Operations, Sales Product, Technology) long term, line of business wide and medium to high risk, scope, and complexity.
• Contribute to the development of project scope statements, in consultation with applicable stakeholders (e.g., program/project charter, Statement of Work, Business Vision Document).
• Develop, communicate, and implement project risk/issue management plans and strategies (e.g., mitigation, avoidance, transfer, acceptance).
• Lead all activities through the project lifecycle (initiating, planning, executing/controlling & closing) to project implementation while coordinating completing agendas and priorities.
• Ensure identification of all impacted areas and that appropriate resources are engaged to participate in the scope definition process.
• Facilitate meetings with internal and external stakeholders to discuss projects, deliverable timelines, and move tasks to completion.
• Be Accountable for communications to senior leaders on project status, risks, and resolution plans and timeframes.
• Track open and outstanding project tasks and deliverables as documented in project plans.
• Raise awareness of any risks, misalignment or misunderstanding of project scope and objectives with applicable stakeholders.
• Serve as liaison between project stakeholders and contributors to ensure that seamless management of tasks to complete project plan.
• Interface with key customer executive level staff to lead and complete projects and provide updates.
• Consult with business partners to clarify and define project requirements and business case.
• Partner with departmental leadership and staff to identify/define performance planning/measures, tracking and reporting objectives.
• Collaborate with users to understand complex problems, and focuses on bringing issues to resolution, escalating as necessary to meet timelines.
• Plan and conduct presentations and/or trainings, as necessary
• Develop subject matter expertise to serve as a Point of Contact for Risk & Adjustment processes for those with less experience.
• Utilize Critical thinking skills to include research and exploration skills; Organizational skills for effective prioritization; Multitasking skills to work in an independent work setting.
• Solve complex problems and/or conduct moderately complex analysis.
Business Development Role Responsibilities:
• Key objective is to grow incremental and new sales for Ezdihar Medical Co. (EMC) while simultaneously reducing client turnover.
• Planning and executing solutions for the business development and operations to deliver to customers.
• Mentoring team members.
• Identifying business opportunities with current and prospective customers.
• Preparing reports by collecting business development information and statistics.
• Developing and managing both the marketing and community relations budget and plans that supports EMC’s community outreach initiatives and programs.
• Work in collaboration with other community-based providers and to evaluate, develop, and implement as appropriate new programs or services for EMC.
• Develop programs and initiatives in targeted communities that align with EMC’s community-based focus and actively participate with organizations who also have health related goals in the post-acute and long-term care markets.
• Work closely with Customer Support, Operations, Finance, Marketing, and other sales teams to ensuring state of the art experience.
• Develop strategies and implement activities to increase awareness of EMC’s programs and services.
• Assist in recruiting activities.
• Serve as the principal representative for EMC in community health-related meetings in KSA.
• Maintain and develop relationships with key internal and external healthcare related contacts in the community at large.
• Coordinate billing and collection activities.
• Monitor accounts receivables activity.
• Oversee monthly close processes, including reporting and account balancing.
• Direct and oversee the overall policies, objectives, and initiatives of the Al Salam Health Medical Hospital revenue cycle activities.
• Review, design and implement processes pertaining to admissions, pricing, billing, third party relationships, compliance and collections.
• Create functional strategies and specific objectives for the sub-functions to support the broader functional infrastructure.
• Ensure accurate billing of insurance providers and patients.
• Document medical billing denials from insurance providers.
• Evaluate billing processes and procedures.
• Train new staff members.
• Maintain excellent relationship with CCHI and MoH.
• Maintain up to date CCHI and MoH Regulatory Compliance.
• Advise CEO and other key members of senior management on financial planning, budgeting, cash flow, investment priorities, and policy matters.
• Serve as management liaison to board and audit committee; effectively communicate and present critical financial matters at select board of directors and committee meetings.
• Contribute to development of strategic goals and objectives as well as overall management of organization.
• Maintain continuous lines of communication, keeping CEO informed of all critical issues.
• Represent organization externally, as necessary.
• Oversee, direct, and organize work of the finance and operations teams.
• Promote a culture of high performance and continuous improvement that values learning and commitment to quality.
• Ensure staff members receive timely and appropriate training and development.
• Establish and monitor staff performance and development goals, assign accountability, set objectives, establish priorities, conduct annual performance appraisals, and administer salary adjustments.
• Mentor and develop staff using a supportive and collaborative approach: assign accountability; set objectives; establish priorities; and monitor and evaluate results.
• Upgrade and implement appropriate system of policies, internal controls, accounting standards, and procedures.
• Plan, coordinate, and execute annual budget process.
• Ensure that company is adhering to the strategic plan, delivering status reports to board.
• Provide analytical support to company's internal management team including development of internal management reporting capabilities.
• Improve administrative and operational accounting services such as treasury management, grants payment processing, payroll, accounts payable, and purchasing.
• Publicly represent company with media and external constituency groups including community, governmental, and private organizations and build excitement for company's mission.
• Provide programmatic leadership and input for all strategic plan implementation processes to CEO and staff. Coach program directors as they implement the strategic plan and transition program operations.
• Develop and implement system for tracking and reporting on the progress of the strategic plan implementation.
• Achieved 90% client satisfaction rate throughout range of services offered.
• Maximized utilization by 75% throughout numerous business departments.
Optimized case and clinical management and recommended plans
to improve safety and health programs.
• Implemented successful healthcare program through
professionalism, quality of care, medical teaching and patient
satisfaction.
• Led diverse team of medical and administrative professionals in day-
to-day activities.
• Represented staff at meetings and on designated committees
relative to areas of specialty or service.
• Addressed and resolved client inquiries and internal operational
issues; evaluated and drafted reports regarding special incidents and
complaints.
• Conceptualized plans to drive business development and build
relationships with healthcare partners.
Plan, organize, direct and control all activities relative to Health Insurance such as but not limited to general underwriting, risk selection and processing of new business applications and renewals for all Health Insurance products with the prime objective to provide superior customer service.
Develop strategies to optimize efficient utilization of resources to
achieve divisional objectives in an efficient manner; my involvement
in this area is related but not limited to, making proper decisions
regarding processes and operations; providing technical guidance
and advice to the team whenever necessary; promoting flexibility in
handling cases requiring exception processing to ensure efficient
operations.
• Monitor performance of product lines and recommend needed
adjustments and work with account executives to implement, within
authority limits to ensure profitability.
• Recommend creative alternatives regarding rating plans, coverage,
and payment plans to ensure proper technical guidance.
• Correspond with field representatives and interview major clients and
take their calls to provide customer service and obtain information on
policy.
• Health Insurance Process Control and Administration.
• Review records or reports pertaining to policy administrative support
activities to verify details, monitor work activities, or evaluate
performance.
• Compile, and prepare reports, manuals, correspondence, or other
information required by management or governmental agencies.
• Analyze qualitative and quantitative data prepared by underwriters
and use letters of authority to provide approval for risk selection and
acceptance, coverage, and price.
• Apply adequate rating relative to assessed risks to ensure safe
profitable distribution of risks, using reference materials.
• Calculate, review, and correct errors on premium, principal,
payment, and closing costs to ensure errors free outcome, that within
my authority limits.
• Verify and examine information and accuracy of Policy application
and closing documents to ensure that applications are made
according to SANAD practices and procedures.
• Approve cover letter for checks issuance within my area of
responsibility and authority.
by the Jordanian Medical
Council
• State Internship Examination Certificate by the Bulgarian Medical
Council
• Practice License of Medicine by the Ministry of Health & Health
Care in the HKJ
• Attendance Contribution Certificate CCHI_SHIB
• NCHIS Health Insurance Standards
• SAMA Regulatory Requirements Stress Testing
.: