Goal-oriented professional seeking senior level assignments in Medical Operations (Physician) / Medical Insurance / Occupational Health with a leading organization of repute
Profile Summary
A seasoned professional with over 2 decades of experience in:
~ Medical Operations ~ Quality Management ~ Occupational Health
~ System Implementation ~ New Set-ups / Initiatives ~ Resource Optimization
• In-depth knowledge of Medical Claims, Provider Relations, Case Management and TPA Management
• Medical audit and Quality Management Auditor for the Health Services Company including TPA representative in Audits by Insurance companies and Ombudsman.
• Actively involved in reviewing, evaluating & analysing the work environments and design programs and procedures to control, eliminate, and prevent injury caused by chemical, physical, and biological factors
• Deft in conducting inspections including QMS audits and enforcing adherence to laws and regulations governing the health and safety of individuals; exposure in carrying out test, monitoring results & advising the right treatments to the patients
• Well versed with accreditation of Healthcare Services including JCI and ACI procedures
• Strong communication skills, analytical ability and capability to perform under stress & strenuous conditions