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Health Provider Management, Consultant
2 weeks ago
FIND YOUR 'BETTER' AT AIA
- We don't simply believe in being 'The Best'. We believe in better because there's no limit to how far 'better' can take us._
- We believe in empowering every one of our people to find their 'better' in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people including our own to live Healthier, Longer, Better Lives._
About the Role
Reports to:
Head of Health Provider Management
Location:
Ho Chi Minh City
Function:
Customer Office I Department: Health Provider Management
Role:
Individual Contributor
THE OPPORTUNITY
We are looking for Health Provider Management, Consultant who involves support in handling relationships with healthcare providers like doctors, hospitals, clinics, and other medical facilities.
This includes tasks such as negotiating contracts, maintaining provider networks, resolving issues related to claims or billing between AIA and providers, ensuring compliance with contractual agreements and regulatory standards, and facilitating communication between AIA and the Providers with aiming to build up a quality network of health provider and maintain quality operations to serve AIA customers.
ROLE AND RESPONSIBILITIES
- Provider Network Management - onboard and expansion (50%)
- Provider Network Management: Building and maintaining a network of healthcare providers that offer a range of medical services to our policyholders.
- Contract negotiation: Negotiating contacts with healthcare providers to ensure favorable terms and reimbursement rates that align with business goals.
- Credentialing and compliance: Ensuring that the Providers meet required credentials and align with regulatory and contractual standards.
- Network Expansion: Finding opportunities to expand the provider network to improve member access to healthcare services.
- Market Analysis: Staying ahead of industry trends, competitor practices, and regulatory changes that could impact provider relationships and network management.
- Quality of services & operations (50%)
- Claims Resolution: Collaborating with providers to resolve issues related to claims, billing, and reimbursement, ensuring accurate and timely processing.
- Provider Relations: Developing and maintaining positive relationships with healthcare providers, addressing their inquiries, concerns, and needs.
- Communication: Facilitating clear communication between AIA and providers, ensuring both parties have the necessary information for smooth operations.
- Quality Assurance: Monitoring the quality of services provided by healthcare partners and addressing any concerns or issues to maintain high standards of care.
- Collaboration: Working closely with internal teams such as claims, customer service, and propositions to ensure effective provider management and member satisfaction.
- Data Management: Maintaining accurate and uptodate records of provider information, contracts, and network details
JOB REQUIREMENTS
- Bachelors degree in medicine, healthcare administration, business administration, health management, or related field.
- Up to 5 years of medical experience, provider relations, provider contracting, provider claims processing, or customer service in a healthcare organization.
- Negotiation skills to work & deal with variety of stakeholders in hospital, clinics
- Healthcare industry knowledge is a must
- Relationship Management
- Problem
- Analytical skills to analyse and adopt standard processes from market
- Contract Management: Attention to details to manage contract dealing and processing
- Adaptability to quickly catch up with the changes of providers, needs of customers to provide solutions
- Collaboration Challenger/ Determined Business Driver (resilient)/ Purpose Led Advocate
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._
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