Job Description

To support NMC Healthcare's Funder Relations Department in managing payer contracts, pricing structures, and reimbursement analytics across hospitals, clinics, and home care services. The role ensures compliance with DOH, DHA, and MOHAP regulations and provides analytical support for optimizing funder relationships and financial outcomes.

Key Responsibilities

Review and analyze payer contracts to ensure alignment with NMC pricing strategy and UAE regulatory frameworks. Support contract negotiations and renewals through data-driven financial and utilization analysis. Maintain up-to-date pricing databases and ensure accurate tariff implementation in HIS and billing systems. Assist in developing and updating service price lists in line with

DOH Standard Price List

and

DHA Tariff Guidelines

. Conduct reimbursement and utilization analysis to evaluate payer performance and contract profitability. Support financial modeling for

Alternate reimbursement models

Coordinate with finance, operations, and revenue cycle teams to ensure correct application of funder terms. Ensure compliance with UAE healthcare regulations and payer-specific claim policies. Prepare periodic performance and financial reports for management review.

Qualifications & Experience

Education:

Bachelor's degree in Finance, Business Administration, Economics, or Healthcare Management (Master's or CMA/CPA preferred).

Experience:

3-5 years in healthcare pricing, funder relations, or managed care within a UAE healthcare provider or insurer. Strong understanding of UAE Insurance companies/TPAs landscape Proficiency in Excel, Tableau, and data analysis tools; knowledge of HIS and coding systems (ICD-10, CPT, DRG).

Key Competencies

Analytical and financial modeling skills Strong attention to detail and data accuracy Effective communication and stakeholder coordination Knowledge of UAE healthcare regulatory environment * High integrity and confidentiality in handling financial information