Medical Service Provider

2 days ago

Ho Chi Minh City, Ho Chi Minh, Vietnam Prudential Plc Full time

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.

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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