Clinical Excellence (TPA) - Pipeline

Job Description

To deliver TPA patient-centered services within clinical excellence covered network and provide quality medical care to ensure positive patient experience during their healthcare journey

Patient-Centered Service

• Engage with inpatients and their families to swiftly address any hospital related concerns or issues.
• Collaborate with cross-functional stakeholders to support appropriate and effective treatment and care.
• Ensure the consistent reporting of daily medical outcomes and notes for all patients
• Manage members and hospital staff feedback and provide resolution
• Identify possible issues and act proactively for solutions to avoid a negative impact

Clinical Excellence

• Oversee hospital medical services and adherence to clinical standards
• Monitor excellence in inpatient services to enhance clinical outcomes
• Identify negative impact and critical issues with Provider's Medical management as they arise

Stakeholder Collaboration

• hospitals and support their professional development.
• Collaborate with healthcare consultants and providers to align case management plans with contractual clinical pathways.
• Ensure hospitals are compliant with the agreed standards of service delivery with Bupa
• Coordinate with hospital teams to ensure seamless patient care and address any challenges or issues that may arise

Skills

• Interpersonal and communication skills
• Ability to work under pressure
• Adaptability
• Time management
• Multi tasking skills
• Complete work timely and accurately
• Strong understanding of clinical practices and healthcare operations.
• Commercial skills
• Service oriented
• 3 – 5 years preferrably in healthcare sector
• Bachelor’s Degree in MBBS/MD/DO