Emad Aldeen Abdulmalek
Riyadh,Saudi Arabia
Summary
A Medical Professional with Customer experience management, holding more than 13 years of experience in the healthcare insurance sector, Skilled in creative thinking, strategic planning & problem-solving, my favorite hope is to provide the best service to our members and understand their problems to solve it as possible and deliver outstanding results.
Overview
17
17
years of professional experience
8
8
years of post-secondary education
Work History
Executive Clinical Excellence Manager
Bupa Arabia Cooperative Insurance Company
Riyadh, Saudi Arabia
07.2014 - Current
- Lead and facilitate quality improvement initiatives aimed at enhancing clinical processes, reducing medical errors, improving patient care by analyzing data, and implementing evidence-based practices.
- Compliance with regulations and adherence to best practices including staying updated on industry standards and research to ensure the organization is aligned with current guidelines.
- Collaborate with various stakeholders including physicians, nurses, and administrators, to promote a culture of clinical excellence and promoting effective communication across departments.
- Advocate for patient-centered care and engagement by involving patients and their families in decision-making processes, improving communication and transparency, and implementing initiatives to enhance patient satisfaction and experience.
- Collaboration with an external organization to stay updated on industry trends, share best practices & contribute to the advancement of clinical excellence on a broader scale.
- Generated and achieved regional revenue goals, exceeding targets within company growth strategies.
- Developing and executing strategic plans to enhance Clinical Excellence throughout the organization.
Medical Insurance Manager in the Health Sector
Al Dar Privet Hospital
Al Madinah Al Munawara, Saudi Arabia
08.2009 - 06.2014
- Manages health insurance contracts with the providers, including the conditions and contracts for implementation and follow-up.
- Cost analysis and evaluation of costs related to medical services.
- Ensuring the quality of health services provided to the patients.
- Communicating and dealing with various insurance companies with effective strong relationships.
Medical Representative and Rejection Officer
Saudi German Hospital - Madinah
Al Madinah Al Monawarah, Saudi Arabia
09.2006 - 08.2009
- Dealing and communicating with various insurance companies to generate official approval for IP patients on a daily basis to deliver the best service to the members.
- Representing the Hospital in the official meeting with insurance companies in order to finalize monthly claims.
- Handled customer queries and complaints using an analytical and diplomatic approach.
- Reviewed and reworked the claims and Rejections.
Education
Master of Business Administration - Insurance.
King Saud University
Riyadh, Saudi Arabia 09.2023 -
Bachelor of Medicine, Bachelor of Surgery. - Medicine and Surgery.
Al Jazeera University.
Sudan. 03.1997 - 09.2004
Skills
- Customer Experience and Satisfaction
- Cost Management
- Healthcare Management
- Strong communication skills
- Business Strategy
- Team Leadership
Languages
Arabic
Native
English
Advanced
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Master of Business Administration - Insurance.
King Saud University
09.2023 -
Executive Clinical Excellence Manager
Bupa Arabia Cooperative Insurance Company
07.2014 - Current
Medical Insurance Manager in the Health Sector
Al Dar Privet Hospital
08.2009 - 06.2014
Medical Representative and Rejection Officer
Saudi German Hospital - Madinah
09.2006 - 08.2009
Bachelor of Medicine, Bachelor of Surgery. - Medicine and Surgery.
Al Jazeera University.
03.1997 - 09.2004
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