Case Management Specialist

NEXTCARE Claims Management LLC

fulltime Dubai, Dubai Business Operations Specialists

Posted:

June 08, 2026

Location:

Dubai, Dubai, United Arab Emirates

Job Description

Case Management SpecialistCase Management Utilization Review Specialist manages high-cost cases ensuring departmental goals are met, timelines are adhered to, and all compliance measures are taken care of. This report directly reports to Assistant Manager – Case Managent Utilisation Review.
 
What you do
Liaise with the Case Management team to develop and implement case management protocols, as well as provide training for the team.
Identifying and reporting clinical cost drivers to plan Field Control Officers or File Reviews.
Managing high risk and long stay cases.
Evaluating Provider & Clinician Abuse to red flag the team . Create a framework for cost controls.
Coordinating with BD Team & Payers to manage the expectations from Case Management perspective
Auditing & Signing off the monthly case Management Savings report & sharing with the Assistant Manger.

            
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                    Job Type:
                    fulltime
                

                    Location:
                    Dubai, United Arab Emirates
                

                    Posted:
                    June 08, 2026
                

                    Deadline:
                    July 18, 2026
                