DANA EL HAYEK NEHME

• Managing UAE Key accounts in terms of strategies, contracting, financial performance and relationship.

Achievements:

• Created 360° Data Base of Key Accounts.
• Successful implementations of Customized strategies.

• Managing DNE providers in terms of strategies, contracting, financial performance, Network optimization.

Achievements:

• Successful shift to: DRGs DXB Y1 with IP cost reduction, 2018 code sets in DNE based on Budget Neutrality.
• Contributed in creating 11 new capitation based products.

• Managing Special / Key Projects.

Achievements:

• Contributed in building a new HIS.
• Managed building an in-house semi-automated Tool for the Contracting process.
• Created cost efficient Low End NWs.

• Manage the core contracting process for new & assigned accounts/network providers along with the related financial performance and corrective measurements.
• Manage the department's Data including uploading the contracted rates, reporting the department's productivity, archiving, etc…

Achievements:

• Successful management of Key accounts.
• Managed building an In-House Semi-automated Tool to store AUH agreed rates.
• Revamped PND Archiving system.

• Manage the department's operations including providers / members' Queries & Complaints.
• Manage Training / Re-training providers.
• Manage the providers' online profiling / Facilities' Visits / Physical Contracts & Addenda.

Achievements:

• Increased AUH providers' satisfaction.
• Successful shift to DoH SPC (unified contract) and optimized the Governance of AUH providers' contracts.
• Optimized Providers' Online Profile and the departments P&Ps.

• Manage the Pre-Authorisations, members' queries / complaints.
• Manage the core contracting process.

• Rounding the assigned hospitals to ensure the OP & IP coverage eligibility.
• Manage the centralization of pre-authorizations & members' enrolment at a broker office then at a key client HQ.