Johns Hopkins Aramco Healthcare (JHAH)

SENIOR MEDICAL CLAIMS ANALYST.

Johns Hopkins Aramco Healthcare (JHAH)  •  Dhahran, SA (Onsite)  •  1 hour ago
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Job Description

Job Title

SENIOR MEDICAL CLAIMS ANALYST.

Job Family

Function

Corporate

Job Code

30009907

Reports to Job

Unit Manager

Quality-focused role owning team-level accuracy and complex case resolution. Responsible for leading quality initiatives, resolving escalated disputes, and mentoring junior staff while contributing to policy refinement.

Strategic Roles & Responsibilities %

10%

Strategic Roles & Responsibilities

  • Lead quality audit initiatives and implement corrective actions
  • Contribute to policy refinement based on claim pattern analysis
  • Mentor and develop junior staff capabilities

Operational Roles & Responsibilities %

90%

Operational Roles & Responsibilities

  • Lead quality audits for the claims team, analyzing root causes of errors
  • Implement corrective actions to reduce claim processing errors
  • Resolve escalated provider disputes involving moderate-complexity clinical determinations
  • Develop claim review checklists for high-frequency scenarios using trend data
  • Update and refine policies based on claim pattern analysis
  • Mentor junior staff on policy interpretation and dispute resolution
  • Conduct training sessions on complex claim scenarios
  • Maintain expertise in regulatory changes and industry best practices

Minimum Education Required

Bachelor degree in healthcare field, medical/dental/physical therapy background is required

Professional Certifications Required

Professional certification (e.g., CPC, CPB) preferred

Years of Experience

4-6 years of progressive claims processing experience in healthcare or insurance

Languages

Arabic : Advanced

English : Advanced

Functional Competencies

  • Accounts Receivable
  • Billing Investigations
  • Billing Statement Preparation

Core Competencies

  • Excellence
  • Integrity
  • Accountability
  • Cybersecurity
  • Person-Centered Care

Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Addendum Title

Supplemental Work/Experience/Education Information

Addendum Description

Johns Hopkins Aramco Healthcare (JHAH)

About Johns Hopkins Aramco Healthcare (JHAH)

Johns Hopkins Aramco Healthcare Company (JHAH) is the result of a joint venture between Saudi Aramco, a world leader in energy, and Johns Hopkins Medicine, one of the world’s leading academic health systems. This health care organization is designed to drive and enhance the wellbeing of the community in an environment of growth and learning, by providing innovative, integrated and patient-centered care to Saudi Aramco’s employees and health care beneficiaries.

Since 1933, Saudi Aramco had delivered a high standard of medical care to its employees and their families through its own medical services organization. In 2013, Saudi Aramco partnered with Johns Hopkins Medicine to carve out and expand the capabilities of its medical services through Johns Hopkins Aramco Healthcare, drawing upon the vast expertise of The Johns Hopkins University and The Johns Hopkins Hospital and Health System to provide clinical program development, research, training, safety and quality, and health care administration expertise.

Over the coming years, this global collaboration will contribute significantly to health and wellbeing in the Kingdom of Saudi Arabia. Johns Hopkins Aramco Healthcare will evolve into a health system of excellence that provides enhanced specialty and subspecialty services, new lines of treatment, research and education that address some of the most significant health care challenges in the region.

Contact us at Inquiries@JHAH.com for more information and general JHAH inquiries.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Dhahran, SA
Year Founded
2014
Website
jhah.com
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