Pharmacy & Provider Management
Everyday…
- Relationship building & managing communication with panel hospitals, pharmacies & insurers on company direction & expectations
- Plan and analyze the hospital contract opening.
- Recruit, cooperate in opening the hospital contract and initial the contract agreement with hospitals.
- Assess and evaluate area needs for new panel hospitals recruitment on quarterly basis
- Conduct due diligence on potential hospitals to be recruited with the aim of recruiting quality hospitals as panel
- Ensuring safe-guard of Sunday interest during execution of onboarding agreement between parties
- Monitor and track panel hospital’s performance via costing, NPS score, ease in negotiation & complaint handling
- Highlight irregular practices (including suspicion on fraud / confirmed fraud practices) & recommend action on errant panel hospital to management
- Conduct half-yearly review of panel hospitals (including market feedback on panel hospital’s performance)
You will need to...
- Bachelor's Degree in any related field.
- At least 3-5 years experience in recruiting hospital and clinic networks working in TPA or claim in house insurance companies.
- Familiar with TPA or healthcare platforms would be an advantage.
- Excellent interpersonal and communication skills and ability to effectively collaborate with diverse people.
- Strong analytical and proven ability to quickly understand complex business and systems and provide a suited solution for clients.