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Job Description
- 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, Maintenance & Development of Medical Provider Network in the Region
- 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 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
- 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.
- 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