Medical Service Provider
7 days ago
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.
MSP (Medical Service Provider) Management- Partnership Development: Establish and nurture partnerships with hospitals and healthcare facilities, ensuring that the network consistently meets established quality standards.- Performance Monitoring: Regularly evaluate the performance of partner hospitals, identifying areas for enhancement and ensuring alignment with service level agreements (SLAs).- Facilitate Communication: Promote effective and ongoing communication between insurance representatives and healthcare facilities to ensure a seamless alignment of processes regarding underwriting and service delivery.- Quality Improvement Initiatives: Identify and implement opportunities for improvement within the network to enhance overall service efficiency and quality- Manage and control medical exam expenses
Underwriting & other tasks:
- Underwrite new proposals/existing policies within approved authority- Verify and sign off underwriting cases for lower authorized
- level underwriter within approved authority- Address and resolve complaints from customers and agents regarding medical services of MSP and underwriting decisions, ensuring stakeholder satisfaction.- Involve underwriting-related projects- Conduct data analysis of medical exam/service and underwriting- Carry out other tasks when assigned by upper management
Team Leadership and Development- Organize Training: Lead team development initiatives by organizing regular training sessions, workshops, and knowledge-sharing opportunities to keep the team informed of best practices and industry trends.- Lead, Mentor and Coaching to develop People: Foster a culture of continuous learning by managing and mentoring MSP teams, enhancing quality and productivity.- Training for sale force in nationwide about MSP/Underwriting process
Job Requirements:
Qualifications: Bachelor’s degree in healthcare administration, Nursing, Medical Services, Business Administration, Finance, Economics or Medical Doctor
Knowledge and skill:
- Medical & underwriting knowledge.- Risk assessment and analytical skills- Relationship-building with hospitals and healthcare providers.- Negotiation and contract management.
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