Medical Provider Management-Assistant Manager
Job Description
<strong>Summary:</strong><p><br></p>The Assistant Manager for MPM is locally responsible to efficiently and effectively manage the Medical Provider networks. The Assistant Manager MPM is expected to negotiate and facilitate the onboarding of Medical Providers with an objective to have a diverse portfolio of medical services which are financially beneficial to the Allianz group.<p><br></p>The Assistant manager is responsible for supporting MPM Manager/ Senior Manager in leading the team and manage the assigned region Medical providers. The position reports to MPM Manager/ Senior Manager of assigned region.<p><br></p><strong>Main Tasks: </strong><p><br></p>Responsibilities will include, but are not limited to, the following:<p><br></p> Support and drive the strategy devised by the Global & Regional Head of MPM.<p><br></p> Deliver assigned objectives within full scope of Medical Provider Management within the region individually or in co-ordination with a team of Medical Provider Management resources locally, where applicable.<p><br></p> Work/lead on projects (Global/Regional/Local Regulatory) as required for the business continuity in the region.<p><br></p> Consolidation, Integration, Maintenance & Development of a single AP Medical Provider Network in the Region<p><br></p> Uses judgment, diplomacy and confidentiality with respect to the complete procurement process, ensuring integrity.<p><br></p> Withholds the reputation of company, beneficiaries, payers and all other parties involved.<p><br></p> Ability to deliver on targets set locally, regionally and globally.<p><br></p> Responsible for the Provider Network expansions per local business requirements within optimum cost<p><br></p> Acquires medical services in accordance with MPM strategy and manage empanelment request from Medical Providers to provide comprehensive network at an optimized cost.<p><br></p> Responsible to implement the Local & Regional DOAP (Delegation of Authority Policy)<p><br></p> Manages negotiations with Medical Providers to reduce average claim cost per network.<p><br></p> Provide regional and local Medical provider cost analysis to facilitate Cost Containment & Financial Savings impact<p><br></p> Tariff negotiation and renegotiations/ new service inclusions with the providers to maintain competitive tariff in line with defined benchmarks.<p><br></p> Enhances the Provider revenue structure to generate savings in line the regional MPM strategy.<p><br></p> Responsible for compliance, maintenance and updates of Desk top procedures, checklists, DoAP<p><br></p> Responsible for supporting periodic reporting of MPM centrally and regionally<p><br></p> Performance monitoring and assessments of Medical Providers in terms of delivery, quality, pricing and efficiency<p><br></p> Maintain and update all the required trackers / reports/Dashboards required within MPM function<p><br></p> Maintain valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services.<p><br></p> Manages the negotiation of health checkup packages / Gate keeper arrangements / special schemes arrangements with Medical providers with specification of SLA.<p><br></p> Provides weekly/monthly reports to the Manager and daily updates on priority matters.<p><br></p> MPM Complaint Management by investigation, closure and escalations as needed<p><br></p> Adapt to the entire Allianz Partners Technical Infrastructure within all lines of businesses required to successful delivery of the assigned objectives/tasks.<p><br></p> Closely works with all the departments within the organization to resolve MPM related queries<p><br></p> Guarantee Medical Provider Management business continuity, efficiency and service levels within the region<p><br></p> Other activities/ special projects as directed/ assigned by the MPM Senior Manager and Regional Head of MPM MEA from time to time.<p><br></p>28855 | Product Management | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
