Tahani Eltijani Badr
Riyadh,Riyadh Region
Summary
Energetic employee well-versed in strong communication and organisation skills. Seeks solutions to problems and applies extensive analytical knowledge to findings. Adept at multi-tasking, leading group discussions and managing projects.
Committed manager with exceptional leadership, organizational skills and communication abilities leads high-performing cross-functional teams. Leads projects, company operations and business growth.
Overview
20
20
years of professional experience
13
13
years of post-secondary education
4
4
Certificate
Work History
Project Manager & Project Coordinator
ATEC (KSA - Project W - Freelancing to MMK)
Alula, Saudi Arabia
10.2023 - 04.2024
- Coordinate internal/external resources and third parties/vendors for flawless execution of projects
- Preparing and handling sensitive information with highest level of integrity and confidentiality
- Measure project performance using appropriate systems, tools, and techniques
- Report and escalate to management as needed
- Manage relationship with client and all stakeholders
- Perform risk management to minimize project risks
- Establish and maintain relationships with second/third parties/vendors
- Create and maintain comprehensive project documentation
- Effectively manage Managing Directors (MD) calendar, including scheduling and coordinating meetings, appointments, and travel arrangements
- Anticipate scheduling conflicts and proactively resolve them to optimize MD's time
- Serve as primary point of contact for internal and external stakeholders, representing MD with professionalism and discretion.
- Draft and edit emails, letters, memos, reports, and other documents as needed
- Prepare agendas, coordinate materials, and take accurate meeting minutes
- Lead more than 8 engineers, coordinating to ensure completion within specified timeframe.
- Coordinate and arrange logistics for executive-level meetings and events
- Conducting research and collecting information to bolster MD's decision-making process
- Develop and maintain positive relationships with key stakeholders, including board members, executives, clients, and employees
- Support MD in diverse special projects, initiatives, and presentations.
- Conduct research, gather data, and provide analytical support as needed
- Expedited issue resolution to minimise delays in project timelines.
- Led cross-functional teams to achieve project goals on time.
- Facilitated smooth transitions between project stages for seamless progression.
- Mitigated potential risks effectively, safeguarded against possible pitfalls within projects.
- Managed contract negotiations between clients, seeking mutually beneficial outcomes.
- Coordinated project tasks, ensuring timely completion.
- Enhanced project efficiency by streamlining communication channels.
Project Manager
Daman Medical Insurance Company
Abu Dhabi
07.2007 - 03.2019
- Experience large volume management information System, details of billing government and nongovernmental carries
- Analyze data and outcomes
- Developing reports, analyses to enhance health management initiatives and strategies' effectiveness.
- Create individualized professional growth strategies for over 30 team members to enhance operational effectiveness and boost performance.
- Liaison between clients and company to meet healthcare related expectations and requirements
- Responsible for reporting, tracking, and communicating status as well as issues
- Investigate in Fraud and abuse medical claims
- Develop and enhance mobile & technical application for organization.
- Developing test plans and test scripts, providing analytical expertise to support data quality improvement, and recommending methods to minimize workloads
- Setting team targets, ensuring quality and TAT of claims
- Responsible for employee performance evaluation, promotion, retention, and termination activities
- Implementing structures for evaluating, processing, and reporting high-cost outpatient & inpatient claims, inclusive of policies and procedures related to proper review protocol
- Creating successful workflow of all duties, while ensuring all claims are accurate, ethical, and complete, keeping meticulous records on necessary follow-ups
- Direct preparation of reports and distribute to relevant stakeholders to highlight issues and problems.
- Implemented quality control measures, ensured adherence to standards.
- Guided development of project objectives, established clear performance expectations.
- Built productive client networks to maximize sales and marketing possibilities.
- Utilized advanced project management tools for superior tracking and reporting.
- Planned staff and resources within business budgets for minimised expenditure.
- Coordinated auctions to sell personal or business property.
- Developed clear brand voices to improve marketing image and reputation.
- Organised travel accommodations for clients with air or train transport and overnight bookings.
Senior Medical Claim Officer / Reimbursement Department
Daman Medical Insurance Company
Abu Dhabi, UAE
03.2016 - 07.2017
- Utilizing Electronic Medical records and coordinating with medical quality assurance to relay approved & denied payments to providers
- Evaluating medical necessity and consistency of diagnosis, procedure & drug code descriptions, and essential guidelines in accordance with key performance indicators
- Monitoring, measuring, and reporting team performance metrics; focusing on achieving performance metrics
- Analyze quality results to report error trends, root causes of errors, opportunities for defect reduction, and brainstorm with team and business partners to identify process improvement opportunities.
- Collaborating with senior leadership to promote department revenue and business objectives, steering operational business reviews with onshore counterparts and Management Team internally
- Develop and manage key metrics, generating daily, weekly, and monthly analysis reports
- Assist, support and educate field reps on billing and reimbursement insights
- Monitored and responded to high-volume critical calls, necessitating quick critical and analytical thinking, ability to recall complex guidelines, and more than 2 weeks to reach appropriate solutions.
- Inspired team members to deliver exceptional customer service while maintaining efficiency in fast-paced environment, communicating with management to establish and attain goals objectives
- Enlisted tact, diplomacy
- Managed conflict resolution to maintain peace in facility.
- Handled sensitive information with discretion and professionalism.
- Maintained order and security at public events, defusing tense situations proactively.
- Conducted 30 official investigations by interviewing key personnel, gathering evidence and taking official statements
- Improved team efficiency with regular training sessions.
Medical Claim Officer
Daman Medical Insurance Company
Abu Dhabi, UAE
08.2007 - 10.2010
- Determines covered medical insurance losses by studying provisions of policy or certificate for than 100 policy to facilitate payments for hospitals
- Documents medical claims actions by completing forms, reports, logs, and records
- Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter
- Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations
- Maintains quality customer services by following customer service practices, responding to customer inquiries
- Protects operations by keeping claims information confidential
- Prepares reports by collecting, analysing, and summarizing information
- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
- Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
- Improved team efficiency with regular training sessions.
- Handled sensitive information with discretion and professionalism.
- Worked diligently under pressure whilst preserving high-quality output.
Senior Medical Laboratory Technologist
Al-Zahrawe Medical Centre
Khartoum, Sudan
04.2006 - 04.2006
- Executed and analyzed tests in areas including chemistry, haematology, urinalysis, serology, histology, and bacteriology to aid physicians in diagnosing and treating disease
- Consistently commended for timely, high-quality completion of both routine and special laboratory assays of patient specimens (including blood, other body fluids, skin scrapings, and surgical specimens)
- Ensured test-result validity before recording/reporting results, earning reputation for meticulous attention to detail
- Evaluated quality control within laboratory using standard laboratory test and measurement controls, and maintained compliance with CLIA, OSHA, safety, and risk-management guidelines
- Managed inventory of lab supplies to avoid shortages during critical periods.
- Training minimum of 15 new members per month.
- Assisted junior technologists in mastering intricate laboratory procedures.
Medical Laboratory Technologist
Omdurman Military Hospital
Khartoum, Sudan
02.2004 - 02.2005
- Remove different human samples and carry their distribution
- Prepare sample for analysis, store, transport goods to destination using appropriate preservation methods
- Chemistry performing daily quality control and request analysis
- Microbiology and serology
- Confirm test results and develop data that may be used by physicians in determining presence and extent of disease or in support of medical research.
- Performed laboratory cleaning duties including safe waste disposal, disinfecting surfaces and laundry management.
Education
Master's in science - Project & Health Management
Swiss Business School
Switzerland 04.2016 - 04.2020
Masters Business Administration - Business
Chiefly Business
Australia 03.2014 - 04.2015
Higher National Diploma - Medical Laboratory
Khartoum University
Sudan 07.2012 - 04.2014
Bachelor's in science - Medical Laboratory Technologist
Al Petra University
Amman02.2006
Skills
- Project Management
- Leadership & Management
- Operational Readiness
- Risk Management
- Change Management
- Time Management
- Performance Improvements
- Innovation & Strategy
Languages
English
Fluent
Arabic
Native
French
Beginner
Affiliations
- adventure
- Black Comedy
- Teaching Arabic for international audience
Certification
• Project Management Professional (PMP) March 2024.
• Presentation Skills - December 2018.
• Fraud & Abuse Training - June 2018.
• Progressive People Skills - August 2017.
• Creative Problem Solving & Decision-Making - May 2017.
• Introduction to Insurance - April 2014.
• Ideal Occupational Health Practice - November 2013.
• Interpersonal Communication Skills - September 2010.
• Stress Management - May 2010.
• Stress and Burnout Conference - April 2010. • Depression Throughout the Lifecycle - February 2010. • Med-lab By Cleveland Clinic - January 2010. • Laboratory Medicine & Management - January 2008
Quote
Risk comes from not knowing what you are doing.
Warren Buffett
Personal Information
Total Experience: 21 Years
Custom
Arabic Native / English Expert
Personal Information
Total Experience: 21 Years
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