Pricing & Contracts Analyst

2 weeks ago

Abu Dhabi, Abu Dhabi, United Arab Emirates NMC Healthcare Full time

NMC Healthcare is one of the largest private healthcare networks in the United Arab Emirates. Since 1975, it has provided high quality, personalised, and compassionate care to its patients and is proud to have earned the trust of millions of people in the UAE and around the world.

NMC's network is made up of 85 medical facilities, including JCI-accredited multi-specialty hospitals, medical centres, community clinics, day surgery centres, fertility clinics, home health services, and long-term care facilities. It employs over 12,000 people and serves over 5.5 million patients every year.

Job Summary:

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).

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