Clinical Service Manager - Medical Assistance Services

Job Description:

Clinical Service Manager - Medical Assistance Services

Cairo, Egypt

Hybrid working options

Permanent

Full time

Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.

Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.

We make health happen

The Clinical Service Manager oversees the delivery of value-based healthcare through case management, claims adjudication, and medical policy services 24/7/365 globally. Embracing continuous improvement, the role ensures the quadruple aims of funded healthcare: strong customer experience, excellent clinical outcomes, provider engagement, and cost containment for better value healthcare.

You will ensure agreed medical assistance services are delivered at all times within the Healthcare Management Department through effective leadership of clinical teams and Medical Policy consultants across the region.

How you’ll help us make health happen:

• Deliver global clinical claims management and support services
• Manage high cost/complex claims and cost avoidance strategies
• Coach, develop, and lead a highly skilled team of health professionals
• Works closely with the Healthcare Management and Clinical Governance team to ensure that processes across Clinical Operations are effective and support the best clinical and customer experience
• Collaborate with Continuous Improvement partners, Medical Policy, and internal Clinical Governance partners
• Resolve customer clinical reviews and emergency assistance issues identified by the team
• Ensure outstanding customer satisfaction - Identify and remove barriers impacting customer satisfaction

Key Skills / Qualifications needed for this role:

• You will be a qualified and registered clinician (nurse / doctor or allied health professional)
• Previous/current experience in medical health insurance
• Data management experience in a clinical environment
• Proven track record in leading teams for hospital, community, or digital health services
• Skilled in establishing performance management culture and managing remote, multicultural teams
• Excellent communication and influencing skills for remote team success
• Experience in project management, quality and process improvement initiatives

Why Bupa?

We’re a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose – helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.

We encourage all of our people to “Be you at Bupa”, we champion diversity, and we understand the importance of our people representing the communities and customers we serve. That’s why we especially encourage applications from people with diverse backgrounds and experiences.

Bupa is a Level 2 Disability Confident Employer. This means we aim to offer an interview/assessment to every disabled applicant who meets the minimum criteria for the role. We’ll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them.

If you require information regarding this role in an alternative format, please email: careers@bupa.com

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