• Manage negotiations with Healthcare Providers to reduce average claim cost per network.
• Enhance the volume-rebate structure to generate savings.
• Manage team to achieve financial savings and factually demonstrate the same for individual target as well as unit targets.
• Manage and ensure generation of Periodic Dashboards to evaluate and monitor claim cost, identify the utilization trends & variances and negotiate with Healthcare Providers to reduce the claim cost per Network. .
• Bear primary responsibility of maintaining valid Healthcare Provider contractual agreements and updated database.
• Action tariff revision requests from existing Healthcare providers as per the Procurement guidelines.
• Acquire medical services in accordance with corporate procurement policy and manage empanelment request from Healthcare Providers to provide comprehensive network at an optimized cost.
• Perform post contract evaluations, create and maintains procurement records.
• Organize and conduct Healthcare provider trainings periodically as defined in Procurement unit policy.
• Manage the negotiation of health checkup packages / Gate keeper arrangements / special schemes arrangements with Healthcare providers with specification of SLA
• Participate in specialized projects and assignments related to procurement, as required.
• Use judgment, diplomacy and confidentiality with respect to the complete procurement process, ensuring integrity.
• Withhold the reputation of company, beneficiaries, payers and all other parties involved.
Job Details
| Date Posted: | 2016-10-12 |
| Job Location: | Cairo, Egypt |
| Job Role: | Management |
| Company Industry: | Healthcare, other |
| Monthly Salary: | US $5,000 |
Preferred Candidate
| Career Level: | Management |
| Nationality: | Egypt |
| Degree: | Bachelor's degree |
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Medical Provider Network Manager
Medical Provider Network Manager jobs
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