Senior Officer, Data Management

at  Daman

JOB DESCRIPTION

Role Purpose

• Execute analysis of MIAD audit results and performance:
• Prepare audit reports and trend analysis
• Develop and implement new system advancement to enhance audit accuracy and operational efficiency (e.g. sampling scripts, reporting tool)
• Compile and analyse audit related data and prepare and maintain an audit repository
• Execute automation of audit checks:
• Evaluate manual and automated audit procedures for workflow efficiency; identify needed process improvements and analyse system design alternatives for new existing systemsDefine / document audit logic for end-users to
• and for translation into programming language
• Develop audit programs and maintain up-to-date knowledge about audit tools and techniques
• Prepare and deliver oral presentations concerning automated audit scripts for hand-over
• Provide data analytical support to the team
• Participate in the audit planning and organising of audit activities
• Communicate audit analysis reports and automation progress on regular basis
• Provide input to new strategic audit initiatives and new business developments at request and will be expected to successfully lead medium to complex projects assigned to him/her
• Deliver high quality customer service and respect medical and work ethics at all times

Key Requirements and Qualifications

• Minimum 4 years of experience in the healthcare industry in:
• Data management (hospital records, authorisations and/or claims) or
• Data analysis/reports/automations (e.g. SAS, Oracle)
• Basic understanding of CPT4 and ICD9 CM coding systems
• Bachelor’s degree in any field; degree in Computer Science/programming, Statistics/Mathematics or Medical/Paramedical is preferred

Skills and Competencies

• Good business understanding and background
• Good leadership skills including people management, selection and development skills
• Very good command of written and spoken English; knowledge of Arabic language is an advantage
• Very good analytical, planning, forecasting, execution and problem solving skills
• Results oriented whilst ensuring high quality of work and able to “think out of the box”
• Strong level of customer service orientation and professionalism in all interactions
• Able to manage a multi-cultural environment and promote teamwork and knowledge sharing in order to achieve goals and deliverables
• Good knowledge of health insurance concepts
• Strong knowledge of Authorisation and Claims Adjudication systems and other clinical coding systems
• Very good knowledge of standard data analysis and reporting programs, e.g. Crystal Reports, SAS and basic understanding of other related IT Solutions.

Job ID 300000273743208

• Execute analysis of MIAD audit results and performance:
• Prepare audit reports and trend analysis
• Develop and implement new system advancement to enhance audit accuracy and operational efficiency (e.g. sampling scripts, reporting tool)
• Compile and analyse audit related data and prepare and maintain an audit repository
• Execute automation of audit checks:
• Evaluate manual and automated audit procedures for workflow efficiency; identify needed process improvements and analyse system design alternatives for new existing systemsDefine / document audit logic for end-users to
• and for translation into programming language
• Develop audit programs and maintain up-to-date knowledge about audit tools and techniques
• Prepare and deliver oral presentations concerning automated audit scripts for hand-over
• Provide data analytical support to the team
• Participate in the audit planning and organising of audit activities
• Communicate audit analysis reports and automation progress on regular basis
• Provide input to new strategic audit initiatives and new business developments at request and will be expected to successfully lead medium to complex projects assigned to him/her
• Deliver high quality customer service and respect medical and work ethics at all time