Summary
Overview
Work History
Education
Skills
Timeline
Generic

Dr Fatma Hfaiedh

Associate Director / Healthcare Insurance SME
Dubai

Summary

As an experienced professional with over 12 years in Digital Health Transformation across the MENA region, I bring a unique blend of expertise in medicine, healthcare, insurance, and IT. Holding a Doctorate in Medicine, I transitioned from clinical practice to strategic roles, driving advancements in payer, provider, and government sectors. My career includes significant positions at IQVIA, where I led teams in engagement management, consulting, and product owner, focusing on integrating and improving healthcare systems.

I Specialize in managing complex, large-scale projects at a national level, successfully implementing financial healthcare platforms that connect healthcare entities and insurance systems. I excel in building relationships with key stakeholders, ensuring alignment of objectives, and facilitating seamless project execution. My contributions to product strategy and client support have expanded the reach of healthcare IT solutions in the region.

Fluent in Arabic, French, and English, I possess effective communication skills and cultural sensitivity, essential for navigating the diverse business landscapes of the MENA region. My approach emphasizes continuous process improvement and a commitment to excellence in customer engagement and service delivery.

Overview

12
12
years of professional experience
3
3
Languages

Work History

Associate Director – Engagement Management

IQVIA
06.2023 - Current
  • Managing a team of Business Analyst and Hl7 FHIR experts responsible for customer engagement, business requirement gathering and documentations of various healthcare products.
  • Continuing to serve as a Subject Matter Expert for a significant implementation for government financial healthcare platform - country wide -, connecting healthcare providers, insurance payers and TPAs in addition to pharmacies in UAE, Oman and Saudi Arabia.
  • Acting as Product owner of insurance platform system ensuring alignment of product vision with market expectation and need, successful launch of new product modules.
  • leading potential customer engagement through conducting workshops, demos and identifying specifics needs and area of enhancements.
  • Cultivate strong relationships with stakeholders, both internal and external, effectively managing their expectations throughout the engagement.

Senior Consultant(Payer, Provider & Gov / HL7 FHIR

IQVIA
12.2019 - 06.2023
  • Managed a team of business analysts supporting implementation projects.
  • Served as a Subject Matter Expert ( Business and HL7 FHIR) for a significant implementation of a government financial healthcare platform - country wide -, connecting healthcare providers, insurance payers and TPAs in addition to pharmacies in UAE, Oman and Saudi Arabia.
  • Supported product roadmap (contribution to Product Strategy and Enhancements)
  • Supported presales activities (RFPs completion assistance, Product Demos …)
  • Provided client support for implemented products across the MENA region

Consultant Project Manager

IQVIA
02.2018 - 12.2019
  • Served as consultant and project manager for provider system projects, DRG national rollout and claim e-payment implementation
  • Ensured compliance with industry standards and regulations by diligently monitoring project activities and updating documentation as needed to maintain alignment with established guidelines.
  • Conducted thorough risk assessments to proactively address potential challenges and mitigate issues before being escalated.

Senior Medical Claims /SUPERVISOR AFTERSALES

NEXTCARE Arab Gulf Health Services
01.2014 - 09.2017
  • Efficiently processed OP claims using TATSH (Pulse, eAUTH) and MOB (Matrix of Benefits), while identifying errors to enhance system automation and service quality.
  • Managed evaluation, processing, and tracking of both local and international medical claims, including escalation and investigation within the required TAT.
  • Provided medical underwriting opinions and cost estimations for individual policies across U.A.E., Tunisia, and Morocco, supported the Allianz Underwriting team, and handled complex claim adjudication, pre-approval processes for IP and OP procedures, DRG case closures, and Second Opinion coordination in CMUR.
  • Managed the presale team responsible of updating the system with new rules, ensuring policy compliance with HAAD and DHA regulations, and auditing the policy creations

General Practitioner

Hospital Tunisia
01.2012 - 12.2013
  • Conducted regular patient check-ups.
  • Prescribed medication and provided advice to patients.
  • Conducted thorough physical examinations for accurate diagnoses, leading to better treatment options for patients.
  • Diagnosed any ailments and referral to specialists.

Education

M.D. - Medical

Faculte De Medecine De Tunis
Tunisia
04.2001 -

Skills

  • Key relationship management

  • Creative solutions

  • Strategic Thinking

  • Strategic leadership

  • Key relationship management

Timeline

Associate Director – Engagement Management

IQVIA
06.2023 - Current

Senior Consultant(Payer, Provider & Gov / HL7 FHIR

IQVIA
12.2019 - 06.2023

Consultant Project Manager

IQVIA
02.2018 - 12.2019

Senior Medical Claims /SUPERVISOR AFTERSALES

NEXTCARE Arab Gulf Health Services
01.2014 - 09.2017

General Practitioner

Hospital Tunisia
01.2012 - 12.2013

M.D. - Medical

Faculte De Medecine De Tunis
04.2001 -
Dr Fatma HfaiedhAssociate Director / Healthcare Insurance SME