Senior Local Medical Provider Manager

The MPM Manager will support the development, implementation, and management of medical provider networks. Reporting to the senior manager or head of department, this role focuses on ensuring the quality, cost-effectiveness, and accessibility of healthcare services provided to members. The manager will negotiate with providers, maintain medical provider relationships, and collaborate with various departments to optimize network performance. The incumbent is expected to negotiate strategically with the medical providers with an objective to procure medical services at an optimized cost and to generate revenue through effective applicable various revenue streams and execution of identified revenue generation strategies.

• Strategy: Support and drive the strategy devised by the MPM management.
• Develop cost savings strategies: Aligned with financial savings target, this is to be delivered by the team but also individually.
• Network development: Develop and maintain a robust network of healthcare providers, including hospitals, physicians, diagnostics, and ancillary services.
• Medical provider contracting: Negotiations with healthcare providers to secure favorable terms and conditions, ensuring cost-effective care and robust applicable provider revenues.
• Medical provider relations: Establish and maintain positive relationships with network providers, addressing any concerns or issues promptly and escalating as needed.
• Compliance: Ensure medical provider network and contract management comply with all relevant internal and external regulations, local mandates, accreditation standards, and organizational policies. Responsible for compliance of TOM and DTPs.
• Performance monitoring: Monitor medical network performance metrics, including cost, quality, and accessibility/segmentation, and implement improvement initiatives as needed.
• Team collaboration: Work collaboratively with the MPM team providing support, coaching, assistance, and guidance to achieve organizational objectives.
• Collaboration: Work closely with other departments such as claims, business development, CRM, operations, and finance to support overall organizational goals.
• Reporting: Prepare and present regular reports on network performance to senior leadership.
• Work effectively with AI, machine learning, data analytics, and cloud-based tools, adhering to high standards of data governance, security, and ethical use.

• Education: Bachelor’s degree in healthcare administration, business administration, or a related field. Master’s degree preferred.
• Experience: Minimum of 5-7 years of experience in healthcare network management.
• Skills:
• Strong negotiation and contract management skills.
• Excellent communication and interpersonal skills.
  
  Analytical and problem-solving abilities.
• Knowledge of healthcare regulations and accreditation standards.
• Proficiency in relevant software and technology tools.
• Regional medical industry knowledge.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams, and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the center of everything we do. Their needs inspire our thinking and guide our actions.

Together, we can build an environment where everyone feels empowered and confident to explore, grow, and shape a better future – for our customers and for the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and…