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The MPM Senior Officer is responsible to efficiently and effectively support the Medical Provider network in assigned zones and responsible for special local, regional and global assigned projects. The incumbent should perform a wide variety of technical and administrative tasks for the MPM Department to ensure accurate and effective data maintenance, circulation, safekeeping and flow of vital information, procedures and contracts as defined by corporate MPM strategy. This Position reports to Assistant Manager / Manager of the assigned region. The MPM Senior Officer is also responsible for managing relationships with medical providers, ensuring compliance with company policies, and optimizing the quality of healthcare services
Job Responsibility:
Support Network Development: Assist the Manager in developing and maintaining a network of healthcare providers, including hospitals, physicians, and ancillary services and negotiation of Provider revenues
Conducts Gap analysis of Provider Network as assigned
Manages empanelment request from Medical Providers including but not limited to: Receipt, registration, and up-to-date record maintenance with consistent informs in coordination with unit members
Responds to the request and follow up for completion of case file
Concludes Medical contract preparation activities by coordinating verification and approvals by appropriate levels of authority
Contract Documentation preparation, coordination and filing: Contract documentations and mail room operations management and coordination
Provider database: Responsible for accurate and up to date records of medical provider database
Maintains and periodically monitors valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services
Technical infrastructure: Responsible to learn and adapt to the company’s technical environment and work on all the applicable systems and projects across all Allianz Partners entities
Assist In Provider negotiations as assigned
Provider Relations: Help establish and maintain positive relationships with medical network providers, addressing concerns and issues under the guidance of the Manager/ Asst. Manager
Compliance Support: Ensure that MPM contracts and documentations adhere to relevant internal and external regulations, accreditation standards, and organizational policies. Responsible for compliance of TOM and DTP’s
Performance Monitoring: Assist in monitoring network performance metrics such as cost, quality, and accessibility, and help implement improvement initiatives
Team Collaboration: Work collaboratively with the local regional and global teams and also closely work with network Operations providing necessary support and assistance
Interdepartmental Coordination: Collaborate with other departments including Business development, CRM, Operations and Finance to support overall organizational goals
Reporting: Prepare and present reports on network performance and activities to the Manager
New service addition: Responsible for all new services addition as per standard pricing model within agreed TATs
Provider Training: Conduct Medical Provider training per requirement and maintain updated training material in coordination with the line Manager
Special negotiations: Health checkup packages / Gate keeper arrangements / special schemes arrangements with medical providers with specification of SLA
Network List: Periodic defined local and regional network list preparation and distribution to defined channels
Medical Provider Complaint management: Record maintenance , coordination to resolve or escalate as needed
Reporting and Analytics: Prepare regular reports on network performance, including provider utilization, cost trends, and quality metrics
Coordinates with Payers and Medical providers for Bipartite and Tripartite agreements, Gate Keeper Addendums
Participates in specialized projects and assignments related to Medical Provider Management, as required
Requirements:
Bachelor’s degree in healthcare administration, Business Administration, or a related field
Minimum of 3-5 years of experience in similar role within healthcare provider network management, contract negotiation, or a related field
Understanding of healthcare industry regulations, standards, and best practices
Good interpersonal/relationship skills
Attention to details: Ability to document prescribed formats, and/or present information to others
understand complex written and oral instructions
Ability to collate specific data
using data systems and local tools
Ability to work with a wide diversity of individuals and within a team
Good verbal and written communication skills
Ability to maintain confidentiality and respect through all correspondence
Should possess excellent organizational and administration skills
High level of dependability, accountability, and integrity
Ability to work under pressure
Ability to adapt to change, meet the changing demands of work environments, any delays or other unexpected demands
Expertise to collaborate and work with internal and external colleagues to successfully complete the defined tasks and provide superior customer service
Physically fit to carry out duties
Legally permitted to work in the country of operations
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
What we offer:
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs
All that in a global environment where international mobility and career progression are encouraged
Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance
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