Health Insurance Program Director

PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.

The incumbent is primarily responsible for successfully implementing projects related to optimization of clinical and non-clinical pathways related to insurance patients. He/she will be part of the National Health Insurance implementation program team that is responsible for successful activation of health insurance processes across all PHCC health centres. The position holder shall deliver assigned insurance projects and solutions in compliance with project standards, to meet defined organizational requirements within agreed timescales.

• Managing the overall operations of NHI program at PHCC.
• Defining, design, and implement program objectives, milestones, budgets.
• Monitor and guide project managers and the Health Insurance Team on execution strategies, program policies, deliverables, building risks / mitigation plans, and methods on successful closure of projects.
• Developing, processing, and monitoring evaluation tool kits to measure program performance.
• Act as a bridge between higher management and people who are responsible for execution of the program. Make sure that the project runs smoothly and stays on schedule
• Collecting, recording, and analyzing project data for developing insightful reporting for top management.
• Lead program-wide transformative change in the area of “Operations, automation-CIS/HIM/CRCM & refine controls & reduce touch points.
• Facilitate vendor contracts, statement of work agreements, and relationships between Corporate & Vendor to ensure project deliverables are met.
• Acts as advisors to contracts in contractual insurance concerns
• Coordinate with MoPH, HMC and other external stakeholders to align PHCC interests.
• Facilitate changing management process within the business to ensure project benefits are ascertained.
• Representing expert opinion on health insurance regulations, standards, and industry best practices.
• Ensure that the aspects of patient safety, risk management, and quality improvement are embedded in all the processes under are of responsibility.
• Foster a culture of safety, where staff feels encouraged to raise concerns and report incidents without fear of disciplinary procedure.
• To develop a culture of learning and encourage staff to learn from defects. Learning should lead to continuous process improvement.
• Ensure high standards of confidentiality to safeguard any sensitive information in line with the organization’s information governance protocols.

Bachelor’s degree in medicine or a relevant stream

Certified PMI or equivalent preferred

Minimum of 12 years of experience, of which 5 years' experience as a program Manager for a medium to large-sized health care business.