· Optimise the use of personal time/effort and assigned work tools/resources in carrying out assigned duties, to ensure work meets agreed standards for timeliness and quality
· Negotiate & support the relationship Manager in the new & renewal of contracts that related to primary, core Medical providers & below by analyzing the proposed prices that has been provided by the network management for potential agreement
· Conduct regular review for primary & core Medical providers costs by utilizing detailed analysis in order to ensure the cost are regular maintained through cost optimization
· Build and maintain the primary & core Medical providers relationships for regional area through carrying out provider visits on a quarterly basis or as needed to improve & strength the relationship that help control the cost, incrase the business within company vision & client satisfaction.
· Resolve Medical providers recived issues through conducting proper anaylses, investegation, inculde other parties if needed & find suitable solution to feedback the Medical provider with the solution set in order maintain, support & strength the relationship
· Conduct regular Performance report for primary & core Medical providers in his region by showing the financial position for alignment & ensure it's assigned in the proper network for cost optimization
· Communicate with stakeholders in the same level like Finance, Claims settlement, Pre-authorization, Fraud, etc. that related to his region.
Continuous Improvement Focus
Knowledge of Market and Business Environment
Relevant product knowledge
Problem Solving & Decision Making
منذ 5 شهر