Qatar Jobs Today: Primary Health Care Corporation announces new job opportunities. Are you looking for job opportunities in Qatar? Primary Health Care Corporation announces the opening of recruitment for many jobs in various specializations in Qatar on today's date. These opportunities are available to all nationalities. Learn about the available jobs and how to apply through the following advertisement.
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Required jobs at Primary Health Care Corporation and their details:
1. Senior Rejection Control Specialist
PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.
The incumbent is responsible for leading and managing the review, analysis, and resolution of insurance claim rejections within PHCC. This role ensures the accuracy, compliance, and efficiency of the claims process, proactively identifies trends and root causes of rejections, and implements strategies to minimize future denials.
Key Accountabilities & Duties:
- Oversee the review and analysis of rejected insurance claims, ensuring timely resolution and resubmission.
- Investigate reasons for claim rejections, coordinate with clinical, coding, and billing teams to correct errors, and facilitate appeals as necessary.
- Ensure compliance with regulatory guidelines, payer requirements, and PHCC policies in all claim handling activities.
- Liaise with insurance companies, and third-party administrators to resolve complex claim issues.
- Analyze rejection and denial data to identify trends, root causes, and opportunities for process improvement.
- Prepare regular reports for management, highlighting key metrics, issues, and recommendations.
- Develop and implement operational workflows and controls to minimize claim rejections and ensure compliance with regulatory standards.
- Participate in audits and quality assurance activities related to claims management.
- Stay updated on changes in insurance regulations, coding standards, and payer policies.
- Train and mentor the respective team and other stakeholders on best practices for claims submission, rejection management, and resubmissions.
- Collaborate with internal stakeholder departments to ensure seamless claims processing and resolution.
- Demonstrate proactive approach to patient safety by thinking what might go wrong in all your undertakings and take necessary measures to prevent them from happening.
- Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
- Partner with line manager to understand risks in your area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
- Ensure high standards of confidentiality to safeguard any sensitive information.
- The incumbent will undertake any such related duties or responsibilities as directed.
Minimum Job Requirements:
- Education Requirements: Bachelor’s degree in business administration, Finance, Health Information Management, or a related field.
- Certification, license or training Requirements: Certification in medical billing/coding (e.g., CPC, CPB) or insurance claims management preferred.
- Experience & Knowledge: Minimum 5 years of experience in health insurance claims management
- Proven expertise in handling claims rejections, appeals, and payer communications in a healthcare setting.In-depth knowledge of insurance workflows, billing, coding, reimbursement policies, and regulatory compliance.
2. Clinical Coding Officer
PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.
The incumbent will be responsible to extract accurate medical data, and assign them appropriate codes, for reimbursement, easy storage, analysis of health data, and research purposes.
Key Accountabilities & Duties:
- Obtain accurate clinical information from medical records and assign appropriate clinical codes.
- Utilize technical coding principles to allocate codes for diagnosis, treatments, and operations relevant to patients’ current period of care.
- Enter codes onto PHCC’s encoder and abstracting systems and identify outpatient reimbursement.
- Adhere to coding principles, standards, and guidelines set by the Supreme Council of Health.
- Assess coding procedures to ensure constant improvement in ICD-10 am/CPT-4 coding.
- Perform regular quality assessments to ensure valid coding procedures and accurate collection of health information and data.
- Analyze various types of medical bills, determine chargeable items, and enter data into billing system.
- Identify inappropriate billing practices and errors such as duplicate billing, undocumented services, and mathematical errors.
- Demonstrate proactive approach to patient safety by thinking what might go wrong in all undertakings and take necessary measures to prevent them from happening.
- Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
- Follow patient safety-related policies, procedures and protocols.
- Partner with line manager to understand risks in the area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
- Consult and communicate with relevant medical physicians to clarify inconsistent, doubtful, and non-specific information in medical records.
- Ensure high standards of confidentiality to safeguard any sensitive information.
- The incumbent will undertake any such related duties or responsibilities as directed.
Minimum Job Requirements:
- Education Requirements: Bachelor’s Degree in health information management/a health care field / Science stream or a related stream.
- Certification, license or training Requirements: Clinical Coding Certifications from AHIMA/ AAPC/HIMAA (CCA, CCS, CCS-P, CPC)
- Experience & Knowledge: Minimum 3 years of experience in the Health Information Management field.
3. Subject Matter Expert - Health Insurance
PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles, and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.
The incumbent is primarily responsible in assisting department with best value operational and Insurance solutions, guide in development of technical solutions, evaluating organizational needs and recommending required solutions. The incumbent shall also be required to oversee the development, testing, and implementation of various technical and operational processes.
Key Accountabilities & Duties:
- Support in developing, implementing, and maintaining operational requirements, including standard operating procedures, as well as databases, to manage and analyze programmatic information such as routine and ad hoc reports, deliverables, and programmatic documentation.
- Coordinate with teams and external audiences as needed to facilitate the implementation of successful transition strategies in coordination with Project manager.
- Support in effective delivery and technical direction for the implementation of primary care Electronic Medical Records (EMR) and Cerner Health Information Management solutions.
- Provide support and assistance in developing & implementing medical coding standards for Insurance.
- Development and implementation of RCM solutions for insurance
- Assessing the effectiveness and efficiency of executing health insurance operations and making recommendations to be reviewed by relevant stake holders
- Guide and support relevant activities associated with changes, transition management, and new initiatives.
- Provide subject expertise and guidance to IT developers during the software development life cycle.
- Verifying technical reference information, including user guides, training manuals, and system requirements.
- Proactively manages and coordinates activities to ensure timeliness of deliverables to exceed contractual obligations in coordination with stakeholders.
- Monitor processes as directed to identify program vulnerabilities and ensure compliance with Health Insurance Payers agreements/contracts and all statutory, regulatory, and sub-regulatory requirements are met.
- Ability to clearly communicate and exchange information with co-workers, teammates, stakeholders, and other personnel, as required.
- Demonstrate proactive approach to patient safety by thinking what might go wrong in all your undertakings and take necessary measures to prevent them from happening.
- Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
- Follow patient safety-related policies, procedures, and protocols.
- Demonstrate as sense of teamwork and effective communication.
- Partner with line manager to understand risks in your area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
- Working within PHCC may give access to knowledge of confidential matters which may include personal information of staff & Patients.
- Such information must be considered strictly confidential and must not be discussed or disclosed.
- The incumbent will undertake any such related duties or responsibilities as directed.
Minimum Job Requirements:
- Education Requirements: Bachelor’s degree in business administration or management or a related stream.
- Experience & Knowledge:
- 7 years’ experience in Health Insurance in Healthcare Facility OR Healthcare Insurance Company.
- Knowledge of Microsoft applications including Word, Excel, PowerPoint and Project Management tools.
- Experience and understanding of revenue cycle processes and how business operations should be structured in a healthcare provider setting.
- Demonstrate ability to articulate revenue cycle operational requirements in clinical and administrative terms.
- Sound knowledge and experience in medical coding is added advantage
- Cerner (Clinical Information system), myCARE & RCM experience is preferred.
4. Clinical Privileging Specialist
PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.
The incumbent will be responsible for leading, coordinating, monitoring, and maintaining the credentialing, Privileging, and re-privileging process. Facilitates all aspects of clinical privileging for Medical Staff, Allied Health Professionals, and all other providers outlined in the Credentialing and privileging policy. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies like QCHP, while developing and maintaining a working knowledge of the statues and laws relating to credentialing and privileging. Responsible for the accuracy and integrity of the credentialing and privileging database system and related applications. Works under the supervision of the Manager, Clinical Licensing, verification and Credentialing.
Key Accountabilities & Duties:
- Leads, coordinates, and monitors the review and analysis of health care practitioner applications and accompanying documents, ensuring applicant eligibility.
- Conducts thorough background investigation, research and primary source verification of all components of the application file.
- Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
- Prepares credentials file for completion and presentation to committee, ensuring file completion within time periods specified.
- Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions.
- Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
- Perform any other additional duties related to Credentialing and Privileging functions as assigned by Executive Directorate office.
- Demonstrate proactive approach to patient safety by thinking what might go wrong in all undertakings and take necessary measures to prevent them from happening.
- Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
- Follow patient safety-related policies, procedures and protocols.
- Demonstrate a sense of team work and effective communication.
- Partner with line manager to understand risks in the area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
- Ensure high standards of confidentiality to safeguard sensitive information.
Minimum Job Requirements:
- Education Requirements: Bachelor’s degree in medicine, Nursing, Allied Health or a similar stream.
- Master’s degree in healthcare management or a similar stream
- Experience & Knowledge: Minimum 5 years of experience in a similar role. Experience in healthcare delivery in the Gulf region.
5. Clinical Auditor
PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.
The incumbent will contribute to the organization by taking responsibility for providing support to clinical audit projects that are aimed to ensure that optimum care is delivered to our patients.
Key Accountabilities & Duties:
- Conduct clinical audits based on the framework and priority areas identified by the Clinical Effectiveness and Quality Assurance.
- Conduct clinical audits based on incidents and client complaints in coordination with the Quality Management.
- Support development of systems to identify sample eligibility for inclusion in a clinical audit.
- Determine standards of patient care and defines the standards very precisely so that the actual quality of care can be measured accurately.
- Continuously evaluate the quality of clinical documentation and monitor the appropriateness of physician queries.
- Extract data from healthcare records and various systems and sources in order to create datasets containing clinical information.
- Assist in developing effective audit tools for a variety of care settings involving patients and caregivers where possible.
- Review and interpret clinical information from a variety of sources including patient records and other souse to ensure clinical guidelines are being followed.
- Review and interpret clinical information from a variety of sources including patient records and other souse to ensure clinical guidelines are being followed.
- Assist in explorative data analysis and interpretation of problems identified and develops action plans for implementation to effect changes in clinical practices.
- Contribute to the development of recommendations to mitigate risks, enhance methods of performing services to improve patient outcomes.
- Assist in developing reports and findings documenting in-depth work to identify the cause, criteria, condition, effect and recommendation on clinical audit activities.
- Demonstrate proactive approach to patient safety by thinking what might go wrong in all your undertakings and take necessary measures to prevent them from happening.
- Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
- Follow patient safety-related policies, procedures and protocols.
- Partner with line manager to understand risks in your area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
- Ensure high standards of confidentiality to safeguard any sensitive information.
- The incumbent will undertake any such appropriate duties or responsibilities as directed.
Minimum Job Requirements:
- Education Requirements: Bachelor’s Degree in healthcare/clinical related field
- Certification, license or training Requirements: Certificate in Clinical Audit or Quality Assurance is preferred
- Experience & Knowledge: Minimum of 4 years of experience in Clinical Audit or similar role in Primary or secondary health care setting.
How to apply for jobs
To apply for the aforementioned jobs, you can follow these steps:
- To go to the application page. (Job opportunities for Primary Health Care Corporation)
- Click on a job title to view details.
- Please click the Easy Apply button at the top of the page.
- Enter the required information in the pop-up screens.
- Click Review to review the form.
Source and additional details
- Job source: The official website
- Posted Date: 18-1-2026 (Please check the date before applying).
- Required Nationalities: All nationalities.