Payers Management Account Manager

About the Role

Nahdi Medical Co. is seeking a Payers Management Account Manager to join our team in Riyadh, Riyadh Region. This full-time role serves as the primary liaison between NUPCO and Nahdi for the Wasfaty program. The manager will be responsible for cultivating strategic relationships, ensuring compliance with service level agreements, facilitating issue resolution, and driving collaborative initiatives to achieve program objectives and maintain high guest satisfaction. Candidates should possess 2-5 years of relevant experience.

Core Responsibilities

The Payers Management Account Manager will oversee critical aspects of the Wasfaty program, focusing on partnership strength and operational excellence. Key responsibilities include:

• Building and maintaining strong, trust-based relationships with key stakeholders at NUPCO, MOH, and relevant government entities.
• Acting as the primary point of contact for stakeholder inquiries, escalations, and partnership discussions.
• Monitoring and ensuring adherence to contractual obligations, agreed KPIs, and SLA performance standards.
• Serving as the focal point for resolving challenges related to service delivery, claims, system integration, and stakeholder requirements.
• Providing regular feedback and insights to the Wasfaty Department Manager on external stakeholder expectations, market trends, and program performance.

Business Development and Program Alignment

This role involves strategic engagement to foster growth and ensure program integrity:

• Developing strategic relationships with key account stakeholders through regular business meetings, presentations, and ongoing engagement.
• Representing Nahdi effectively with external stakeholders while maintaining strong awareness of market dynamics, stakeholder priorities, and emerging opportunities.
• Identifying and supporting future business growth opportunities to strengthen partnerships and ensure business continuity for the Wasfaty program.
• Collaborating with internal teams to identify and address operational gaps that may impact compliance, service quality, or overall performance.
• Supporting the Wasfaty Department Manager in renegotiating terms, enhancing agreements, or expanding the program scope as required.

Financial Performance and Reporting

The manager will play a crucial role in monitoring and optimizing the financial aspects of the program:

• Developing and monitoring regional revenue targets based on targeted regional penetration share and expansion plans.
• Managing portfolio dispensing performance and Authorized vs. Alternative switching based on availability KPIs, supported by daily coordination with internal stakeholders and NUPCO.
• Coordinating with Merchandise Planning on the ranging and inventory management of Wasfaty-flagged items.
• Matching financial reports with dispensing data by tracking quantities and values dispensed and analyzing their impact on Wasfaty commission, profitability, revenue per prescription, and overall project performance.
• Identifying and reporting performance variances, recommending corrective actions, and discussing outcomes during monthly financial review meetings.
• Ensuring effective execution of KPIs to maximize Wasfaty commission and overall performance.

Required Experience

Candidates for this position should have 2 to 5 years of experience in a relevant field, demonstrating a strong background in account management, stakeholder relations, or program oversight, preferably within the healthcare or pharmaceutical sector.

Work Environment

The role primarily operates indoors (90%) with some outdoor activities (10%). The standard work week is 5 days, with 2 days off. Working hours are from 8:00 AM to 5:00 PM, including a one-hour break.