Engagement Lead

9 hours ago


Doha, Qatar IQVIA Full time

**Job Overview**

Responsible for the on-time completion of activities related to engagement with stakeholders for the implementation of mandatory health insurance scheme of the client. Work in cross-functional team to ensure project delivery success.

**Essential Functions**
- Participates in the design, development and delivery of stakeholder engagement & readiness components
- Reviews and analyzes client requirements
- Proposes and delivers cost effective solutions to meet these requirements.
- Designs, structures and delivers client reports and presentations.
- Engagement and readiness of different stakeholders for the successful implementation of the scheme

**HCPs**:Assess the readiness status and ensure seamless on-boarding of HCPs along with the concerned client team. This may include

the operational and technical readiness,

compliance of the providers in terms of e.g. data standards, billing, pricing, and

compliance with Standardized/National Provider Network Agreement (PNA) terms.

Engage with HCPs for allocation of a readiness score. This will include meetings, target timelines and ensuring HCP’s to be fully compliant prior to the roll-out of the MHIS and post-implementation.

Identify the provider network design, ensure meticulous selection criteria is in place and ensure accessibility to health care with no impact on quality of treatment. Identify and implement effective measures for quality assurance and HCP incentivization approach in coordination with the concerned stakeholders. Review and refine the coding nomenclature and claims management processes.

**PHIs**:Assess the readiness status and along with the concerned regulator team ensure seamless on-boarding of PHIs. This will include

the operational and technical readiness,

compliance of the providers in terms of e.g. data standards, billing, pricing, and

regulatory adaptability.

Engage with PHIs for allocation of a readiness score. This will include meetings, target timelines and ensuring PHI’s to be fully compliant prior to the roll-out of the MHIS and post-implementation.

**Cross-Regulators**:Engage with the cross-regulators to delineate functions and agree on collaboration moving forward. The engagement will include meetings, target timelines and cross regulators to be fully aware of their roles and HFID’s role prior to the roll-out of the MHIS and post-implementation. Develop Service Level Agreements (SLA) with stakeholders who will have regulatory roles in the Scheme, as needed. This may include technical, legal and administrative requirements.

**Other stakeholders**

Prepare and continuously engage TPAs and HCBs to ensure they will be compliant with the regulatory requirement.

**Qualifications**

A least 15 years of experience in health insurance schemes development/implementation expertise at a regulatory level in general Works willingly and effectively with others in and across the team to accomplish project goals. Experienced with developing relationships with senior level managers and executives at clients in the healthcare insurance industry

Ability to manage multiple projects, juggle priorities and deliver on tight deadlines.



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