Medical Provider Contracting Officer

Confidential Company - New Cairo, Cairo

42
Applicants for
2 open positions
26
Seen
Experience Needed:
More than 3 years
Career Level:
Experienced (Non-Manager)
Job Type:
Full Time
Salary:
Confidential
Education Level:
Bachelor's Degree at least
Languages:
English
Vacancies:
2 open positions
Travel Frequency:
Minimal travel
About the Job
  • Responsible for manging the Network Provider contractual documents and updated provider database
  • Collaboration with local Business unit to deliver network requirements locally
  • Support the Team of Medical Provider Management resources locally, where applicable..
  • Support the network Manager in Consolidation, Integration, Maintenance & Development of Medical Provider Network in the Region
  • Support the Medical Provider Managers to deliver best cost-based provider agreements in applicable region, notably by conducting and overseeing the following data analysis initiatives and periodic provider reporting
  • Support on implementation of regional and local Medical Provider Network capacity
  • Ensures close, professional and efficient relations with existing Medical Provider networks.
  • Negotiates Direct Provider tariffs to maintain a comprehensive network at an optimized cost as per line manager
  • Maintains and updates the existing Medical Provider contract agreement records in alignment with Company legal and compliance policy.
  • Maintains valid Medical Provider data and update of web interactive portal services.
  • Maintains Medical Provider hierarchy and links.
  • Schedules, organize and perform periodic network Medical Provider location visit for:
  • Medical Facility evaluations as per defined criteria.
  • Reports to line manager as per the defined format.
  • Organizes and conducts Healthcare provider trainings periodically as per requirements and requests.
  • Customizes and prepares contractual agreements, ensuring appropriate terms and conditions and contracts are procured and awarded in accordance with Medical provider Management standard processes with due authorization received for documentation
  • Serves as the point of contact for Medical providers for orientation, ongoing training, and technical support.
  • Advises the Network Manager with information from the market about competitor trends and practices.
  • Identifies network trends and gaps as it relates to provider queries and concerns.
  • Prepares and circulates standard provider communications as required with due authorization from line manager and participates in special projects as required by Medical Provider Management
  • Maintains and updates the existing Medical Provider contract agreement records in alignment with Company legal and compliance policy
Job Requirements
  • Bachelor of Pharmacy is a must.
  • 3+ years experience in a similar role in a network administration environment ( preferably gained in hospitals, insurance companies, TPAs).
  • Flexible to work IN and OUTDOORS.
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
  • Requires managing multiple projects concurrently in a fast paced environment.
  • Customer Focused
  • Strong communication (verbal & written) & interpersonal skills
  • Strengths in the following areas
  • Analytical skills
  • Problem solving skills
  • Organization and planning skills
  • Time management skills
  • Strong attention to detail & accuracy