Post-Degree Diploma Student
Camosun College
Total years of experience :10 years, 3 Months
Professional Exploration and Cultural Immersion
During this period, I took a proactive decision to relocate to Canada to explore professional opportunities and immerse myself in a new cultural and business environment. Motivated by a desire for personal growth, I enrolled in a Post-Degree Diploma program in Business Administration. While in Canada, I engaged in networking events, workshops, and local industry exposure to broaden my skill set and knowledge
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After careful consideration, I decided to return to Dubai to align my career goals with the dynamic business landscape in the region. This period allowed me to gain valuable insights and perspectives that I believe will co
Performed required contracting procedures, provided training to assigned providers and met set financial targets.
Responsible for all aspects of participation for their assigned providers.
Implemented strategies to accurately determine the cost of the provider.
Ensured that all negotiations were in line with the company's pricing targets, optimum services, and payment terms.
Carried out procedure code mapping for the contracted services with the healthcare providers as needed.
Reviewed provider dashboards and quality reports to measure provider performance and utilization.
Ensured that the agreed terms were properly implemented and documented.
Scheduled and performed providers' site visits according to specific needs.
Provided education and training to all providers assigned to the company's Provider Manual, Provider Guide, Quality measures, and performance standards
Handled any issues that may arise from Customer Service and Sales units that involved the assigned region's providers.
Handled special projects as assigned.
Processed data entry of the prices in the appropriate matrices.
Proficiently prepared and meticulously ensured accurate documentation of contracts.
Ensured compliance of the data with legal regulations.
Evaluated and drafted reports concerning data findings.
Implemented quality control procedures and guidelines.
Ensured data system is operational.
Produced weekly, monthly, and annual data reports.
Developed ad-hoc reports as necessary.
Assisted in defining and/or creating data listings, summary table validation, data specifications, and/or processing data transfers in preparation for statistical review and/or data management audit.
Participated in the preparation and presentation of data, when applicable.
Assisted in developing means to correct the problems.
Shared ideas for new features on system implementation.
Oversaw the department's overall operations, from contracting to confirmation and activation.
Coordinated communication between the network or provider relations department and external healthcare providers.
Managed administrative tasks such as scheduling meetings, handling correspondence, and maintaining departmental records.
Assisted in the development and maintenance of provider networks by facilitating contract negotiations and credentialing processes.
Responded to inquiries and resolve issues from healthcare providers related to network participation, reimbursement, and contractual agreements.
Collaborated with internal teams to ensure accurate and up-to-date provider information in the health insurance network.
Generated reports and analyze data to support decision-making within the department.
Facilitated the onboarding process for new healthcare providers, ensuring compliance with organizational policies and procedures.
Acted as a liaison between the health insurance company and providers to enhance positive relationships and resolve any disputes or concerns.
Stayed informed about industry trends, regulations, and changes affecting provider relations, and communicate relevant information to the team.
Supported the development and implementation of strategies to optimize network performance and provider satisfaction.
Admin:
Dealt with routine inquiries at reception or by telephone and referred more complex matters to appropriate members of staff.
Kept and maintained an accurate filing system for the preservation of office information.
Managed physical and digital correspondence while keeping information private and secure.
Planned and scheduled meetings, creating agendas and minutes as needed.
Conveyed assignments and schedules to drivers.
Created and maintained logical and orderly digital filing system for impeccable record keeping.
Organized travel and accommodations arrangements within assigned budgets.
Created email notifications, invitations and agendas for meetings, events and appointments.
Received, sorted and distributed incoming mail.
Helped staff to maximise efficiency by providing clerical and secretarial support.
Human Resources:
Assisting in the day-to-day efficient operation of the HR Department.
Tracked employees' attendance on a daily basis.
Compiled and organized leave requests; ensured timely submission of leave records to the managing director for approval.
Managed and processed medical insurance for employees.
Facilitated the onboarding process for newly hired Work history
employees by guiding them through the company orientation program.
Ensured that the recruitment and selection processes were followed. Created job descriptions, advertised on job portals, conducted interviews, and coordinated with functional heads for successful hiring.
Managed leave records and attendance systems in collaboration with the manager.
Ensured the accuracy and completeness of clearance forms and final statements for resigned employees.
Maintained day-to-day attendance and tracked employee work.
Accounts:
Managed petty cash and cash handling operations.
Responsible for the accurate and timely preparation and processing of monthly payroll, ensuring prompt payment to staff members.
Ensured the timely and secure transfer of funds to the bank.
Consistently maintained an up-to-date and comprehensive summary of telephone and mobile bills.
Prepared and transmitted quotations to designated account handlers.
Issued purchase orders and obtained the necessary approval from management.
Reviewed all invoices for appropriate documentation and approval prior to payment.
Matched invoices to checks and ensured accuracy in financial transactions. Obtained the necessary signatures for documentation and compliance purposes.
Ensured timely follow-ups of purchase orders by maintaining regular communication with clients.
Managed client receivables and ensured timely follow-up and resolution.
Fulfilled local purchase orders to be sent to the suppliers and following up deliveries of material to concerned area or location.
Executed contracts, quotations, and invoices for potential clients.