TheLocalManager(LMPM) for MPM is locally responsible to efficiently and effectively managing the Medical Provider networks. The Assistant Manager/LMPM 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.
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
What you do:
Responsibilities will include, but are not limited to, the following:
- Support and drive the strategy devised by the Global& Regional Head of MPM.
- 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.
- Work/lead on projects (Global/Regional/Local Regulatory) as required for the business continuity in the region.
- Consolidation, Integration, Maintenance& Development of a single AP Medical Provider Network in the Region
- Uses judgment, diplomacy and confidentiality with respect to the complete procurement process, ensuring integrity.
- Withholds the reputation of company, beneficiaries, payers and all other parties involved.
- Ability to deliver on targets set locally, regionally and globally.
- Responsible for the Provider Network expansions per local business requirements within optimum cost
- Acquires medical services in accordance with MPM strategy and manage empanelment request from Medical Providers to provide comprehensive network at an optimized cost.
- Responsible to implement the Local& Regional DOAP (Delegation of Authority Policy)
- Manages negotiations with Medical Providers to reduce average claim cost per network.
- Provide regional and local Medical provider cost analysis to facilitate Cost Containment& Financial Savings impact
- Tariff negotiation and renegotiations/ new service inclusions with the providers to maintain competitive tariff in line with defined benchmarks.
- Enhances the Provider revenue structure to generate savings in line the regional MPM strategy.
- Responsible for compliance, maintenance and updates of Desk top procedures, checklists, DoAP
- Responsible for supporting periodic reporting of MPM centrally and regionally
- Performance monitoring and assessments of Medical Providers in terms of delivery, quality, pricing and efficiency
- Maintain and update all the required trackers / reports/Dashboards required within MPM function
- Maintain valid Medical Provider data, hierarchy, and links for the region and update web interactive portal services.
- Manages the negotiation of health checkup packages / Gate keeper arrangements / special schemes arrangements with Medical providers with specification of SLA.
- Provides weekly/monthly reports to the Manager and daily updates on priority matters.
- MPM Complaint Management by investigation, closure and escalations as needed
- Adapt to the entire Allianz Partners Technical Infrastructure within all lines of businesses required to successful delivery of the assigned objectives/tasks.
- Closely works with all the departments within the organization to resolve MPM related queries
- Guarantee Medical Provider Management business continuity, efficiency and service levels within the region
- Other activities/ special projects as directed/ assigned by the MPM Senior Manager and Regional Head of MPM MEA from time to time.
To be successful in this position you will need to have the following skills/ experience:
- Bachelor’s / Master’s Degree; Medical background preferred.
- 3-5 years’ experience in a network administration environment (preferably gained in hospitals, insurance companies, TPAs).
- Physically fit to carry out duties.
- Logical thinking mind set and ability to solve problems
- Strong communication (verbal& written), presentation and interpersonal skills
- Fluent in written and verbal English, French and Arabic; other languages are an advantage
- People management and motivation
- Analytical skills
- Business and commercial acumen
- Relationship and stakeholder management
- Able to use a range of standard (Microsoft Office) and non-standard IT applications to support and enhance the work;
- Legally permitted to work in the country of operations
- Local medical/health industry knowledge
- Flexibility and can work autonomously
- Ability to adapt communication style based on target audience
- Strong organization, prioritization and time management
- Process minded
- Target driven
- Can do attitude
- Able to work in a fast pace, high delivery work environment
- 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.
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.
74194 | Underwriting | Professional | PG10 | Allianz Partners | Full-Time | Permanent
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.Join us. Let's care for tomorrow.
الإبلاغ عن وظيفة