Experience

SANAD Cooperative Insurance and Reinsurance JSC
• Claims Medical Officer


Sanad Insurance & Re Insurance JSC

• Saudi Arabia
• Insurance
• 1 - 100 Employee

• In-House Clinics Officer - Provider Relations Dept

  • Dec 2009 - Present

   Enhance the communication with the accounts’ relations at the commencements of the contract and whenever necessary in order to ensure meeting of minds of all related parties.  Completing the contracting process, creating clinic’s profile, completing Caesar entries and update any changes with in one working day for finalizing the contract/change.  Orientation of the staff of the new In-house clinics regarding the administrative responsibilities, Sanad procedures, Contacts and the standard formats.  Manage processing the drug request within agreed duration of 5 working days.  Maintain tracking receipt system, inventory and balance records of all supplies to avoid accumulation, expiration and losses.   Carry out regular mystery shopping and audits to ensure clinics are complying with the service level to the members  Active participation in Fraud investigation unit and communicate the finding with the providers to take corrective actions  Maintain list of chronic members for each clinic and counter check the supplied medicine against NW utilization in order to prevent duplicate supply.  Manage processing the payments of Salaries, Medication and other eligible payment requests and ensure to pass the statements to finance within 3 working days.  MIS Reporting – Prepare MTD & YTD In-house clinics performance reports on a monthly basis. Actively participated with many marketing and business development projects, and currently working on many projects Show less



Al Najah Pharmacy - Riyadh

• Chief Pharmacist

  • Jan 1998 - Jan 2007

  As a chief pharmacist, has nine (9) years of experience in maintaining and uplifting an individual pharmacy named Al-Najah pharmacy in Riyadh, Kingdom Of Saudi Arabia. Performing various duties such as - Oversee and Supervise Customer Service. - Maintaining open communications with Customers. - Coordinate purchase orders, process credit requests and respond to customer enquires. - Process/Dispense prescription orders for high-volume pharmacy. - Communicate with clinic/hospital staff for drug related issues and concerns, including order clarifications, drug interactions and therapeutic recommendations. - Assist in the training and evaluation of newly recruited pharmacists and pharmacy technicians - Communicate with pharmaceutical industry representatives, drug-dosage forums. Show less