Job Description – Manager-Providers & Insurers
Position: Manager - Providers & Insurers
Industry: Healthcare / HealthTech
Location: Dubai, UAE
Type: Full-time / Middle Management
Role Overview
We are looking for an experienced Providers & Insurers Manager to lead network partnerships, insurance relations, and reimbursement operations for a healthcare startup company. The role requires deep understanding of the UAE healthcare ecosystem, insurance regulations, and digital health business models.
This position is critical to building a robust provider network, ensuring seamless insurance coverage for patients, and driving financial sustainability through effective contract management.
Key Responsibilities
Provider Network Management
- Develop and manage strategic relationships with hospitals, clinics, labs, pharmacies, and allied health providers.
- Negotiate and finalize provider contracts with favourable pricing models and SLAs.
- Ensure provider partners meet DHA/DOH/MOHAP regulatory standards and company’s quality benchmarks.
- Monitor provider performance and stakeholder satisfaction through KPIs.
Insurance & Payor Relations
- Build and maintain relationships with local and international insurance companies, TPAs, and payors.
- Lead insurance panelling and empanelment process for start-up healthcare services.
- Negotiate tariffs, reimbursement models, and payment terms with insurers.
- Ensure compliance with Dubai Health Authority (DHA) and UAE Central Bank (ICD-10/DRG coding, e-claim system, DHA, DOH and MOHAP standards).
Claims & Revenue Cycle Management
- Oversee the claims submission, processing, and reconciliation workflows.
- Resolve claim denials and delays by coordinating with insurers and providers.
- Do an RCA on the reason for claim rejection and steps to mitigate the same through SOP.
- Ensure accuracy of coding, billing, and documentation to maximize reimbursement.
- Implement best practices in revenue cycle management for efficiency and cash flow optimization.
Cross-functional Collaboration
- Work closely with product/tech teams to integrate insurance & provider workflows into digital platforms.
- Support finance in forecasting insurance revenue and monitoring collections.
- Collaborate with compliance to ensure regulatory adherence in contracts and insurance practices.
Required Qualifications
- Bachelor’s or Master’s in Healthcare Management, Business Administration, Insurance, or related field.
- 7+ years of experience in healthcare provider relations, insurance management, or TPA operations in the UAE/GCC.
- Strong understanding of DHA/DOH/MOHAP guidelines, DRG coding, ICD-10, and UAE health insurance laws.
- Demonstrated track record of building provider networks and negotiating with insurers.
- Excellent problem-solving and negotiation skills.
- Proficiency in UAE e-claim systems, payer portals, and healthcare IT systems.
- Languages known: Proficiency in English & Arabic
Preferred Skills & Attributes
- Prior experience in a health tech or digital healthcare start-up.
- Knowledge of alternative reimbursement models (value-based care, capitation).
- Strong stakeholder management and interpersonal communication skills.
- Entrepreneurial mindset — adaptable, resourceful, and results-oriented.
Compensation
- Competitive salary based on UAE market benchmarks.
- Performance-based incentives.
Job Type: Full-time
Experience:
- dealing with insurers: 10 years (Required)
Language:
- Arabic and English (Required)
License/Certification:
- Degree / diploma (Required)
Willingness to travel:
- 25% (Required)
Application Deadline: 30/08/2025
