Posted 2 months ago
Assistant Manager, Medical Network Management
AI Summary
Manages Prudential's medical provider network and direct billing service, handling contract negotiations, fee arrangements, provider training, settlement processes, and performance monitoring to ensure quality customer experience and business continuity.
About this role
Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
Job Responsibilities:
- Develop and manage Prudential's medical provider network and direct billing service through business contract negotiation, arrangement of agreed fees, provider training, settlement process and third-party agreements.
- Ensure excellent delivery of customer experience and value from network providers through performance monitoring, quality assurance, feedback management, daily servicing issue handling and implementation of process improvement initiatives.
- Engage agency and distribution through education, communication and engagement activities to uplift utilization of Prudential's direct billing service.
- Research, recommend opportunities on development of medical network and align with Prudential's health strategy through business analysis, competitive benchmarking, network coverage and specialty reviews.
- Support delivery of key improvement initiatives through provision of user requirements.
- Maintain business continuity by providing administrative support as necessary.
- Provide support to ad hoc projects and proposition initiatives arising from time to time.
Job Requirements:
- Degree holder with experience in medical network, clinical or healthcare operations.
- Minimum 3 years in managing contract negotiations involving medical network providers.
- Good negotiation and communication skills with strong business acumen.
- Good command of written and spoken English and Cantonese. Mandarin is an advantage.
- Experience in health insurance / healthcare provider market / project management is an advantage.
Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.
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