CV Sr Medical Officer / Quality in Healthcare and Medical Insurance, Qatar Petroleum Medical Services
Sr Medical Officer / Quality in Healthcare and Medical Insurance, Qatar Petroleum Medical Services
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Bachelors in Medicine Years of Experience:
Authorized to work in: India, Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates, Yemen Present Location: Qatar, Dukhan Relocation: Anywhere (International)
Health & Safety
1. Summary (Cover Letter) - CV/Resume Part 1 [Mandatory]
A Medicine Graduate with 16 years experience as Physician and managed healthcare professional in various capacities.
In-depth knowledge of the management of patients in the O.P.D as well as the E.R.
Excellent crisis management and analyzing skills with skills in interpreting information and making correct decisions under pressure.
Endowed with exemplary relationship management abilities with the distinction of handling a team of 15 medical professionals in the health care services company.
Well versed with TQM procedures
Well versed with Joint Commission Standards and Accreditation Processes
2. Work Experience - CV/Resume Part 2 [Mandatory]
Awarded certificate of appreciation by Qatar Petroleum Medical Services for developing diabetes guidelines and participating in Hospital Management Programme.
Was responsible for recruitment of Medical Professionals and building a team of Medical Professionals for all the other departments.
Physician Representative for Corporate Continual Improvement Team in Qatar Petroleum Medical Services Department.
Lead for Chronic Disease Management for Diabetes across Qatar Petroleum Medical Services.
Worked as a physician in various capacities in Primary as well as tertiary care facilities.
Worked and managed In house clinics for various companies independently.
Overseeing academic activities of the department entailing journal reviews conducting CME’S and case discussions of interesting cases conducted within the department.
Group leader (Physician Module) for customizing and implementation of Medical Information Management System in Qatar Petroleum Medical Services.
3. Education & Training - CV/Resume Part 3 [Mandatory]
MBBS from Topiwala National Medical College (T.N.M.C.) & B. Y. L. Nair Charitable Hospital, Bombay University, India in 1992.
Management and Quality Courses
Joint Commission International Practicum for Quality Improvement and Accreditation- JCI
ISO 9001:2000 Lead Auditor - IRCA (UK) certified – The British Standards Institution
OHSAS 18001:2007 Lead Auditor –IRCA (UK) certified - The British Standards Institution
Six Sigma – Green Belt Training - Motorola University
Management Development Programme – Hospital Administration –Indian Institute of Management - Ahmedabad
Change Management – Specialist Management Resources
Middle Manager Development Program – International Expert Center for Management Consultation
Root Cause Failure Analysis – Harrington Institute Inc (USA)
Train the Trainer –Ripa International (UK)
Continual Improvement – Tools and Technique
Advance Life Support (ALS) Certification accredited by the European and UK Resuscitation Council.
Major Incident Medical Management and Support (MIMS), accredited by the Advanced Life Support Group (UK)
Training of Trainer RCGP (UK)
Member of Maharashtra Medical Council (India) # 69735
Member of Saudi Council for Health Specialties (Saudi Arabia) # 19/D/1643
National Health Authority (Qatar) # 3466
Member of International Society for Quality in Health (ISQUA)
Member of American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
Member of American College of Physician Executives (ACPE)
4. Computer Skills - CV/Resume Part 4 [Mandatory]
Information Technology Training
E-commerce with convergence, National Institute of Information Technology (NIIT)
5. Other Skills - CV/Resume Part 5 [Optional]
Team Leader of the Medical scrutiny department with a team of 15 Physicians. This position reported to the Vice President and Chief Operating Officer.
Paramount Health Care Services was one of the leading TPA which had a client base of 2.5 million lives.
Team Leader for the claims and pre-authorization department of Millah Health Care Services.
Negotiating with various Health Care Providers for settlement of claims and cost packages.
Replying to the legal notices from a medical view point in the cases of disputes.
Attending Ombudsman as a professional representative of the medical insurance company in cases of disputes.
Internal Audit of various other branch offices of the company.
Replying to external audit queries of various medical insurance companies and corporate clients.
6. Additional Information - CV/Resume Part 6 [Optional]