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AVP, Medical Provider Management, Group Operations in Singapore at Great Eastern

Date Posted: 8/16/2018

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Job Description

Job ID: 000684

Job Purpose

You will lead the medical provider management team under the Group Operations Division, reporting to the Managing Director of Group Operations. Driving and implementing initiatives to create provider networks to ensure policyholders access quality care for insured treatment by the medical providers on the Health Connect (HC) panel. HC is a call-in service exclusively for our Supreme Health customers.

The Job

• Draft, review, negotiate and finalize contracts with all medical providers in the HC panel.
• Leverage insurance contracts with medical providers for optimal financial results.
• Reach out to medical providers and evaluate their services based on company criteria.
• Develop a comprehensive HC panel to ensure policyholders access quality care for insured treatment.
• Ensure compliance with contract guidelines, preparing financial projections, drive utilization of HC services.
• Prepare case review and liaise with claims department to ensure accuracy in insurance claims.
• Customizing fee schedules.
• Work with appointed third party administrator, hospitals and clinics.

Job Requirements

Our Requirements

  • Possess a Degree or other medical/health insurance related professional with more than 5 years of relevant experience and managerial skill.
  • Excellent interpersonal skills to effectively communicate with all stakeholders.
  • Good writing skills are important to draft the contracts given to panel of medical providers.
  • Having a strong knowledge of medical terminology is a must.
  • Detail-oriented with the organisational skills to prepare reports.
  • Strong negotiations abilities to establish working relationships with medical providers.
  • Strong analytical skills with the ability to work under pressure.
  • Strong business acumen with long term vision.
  • Strong leadership and people management skills.

To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.