Job Overview
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.
Key Responsibilities- Strategy – Support and drive the strategy devised by the MPM Management, and develop cost‑savings strategies aligned with the financial savings target.
- Network Development – Develop and maintain a robust network of healthcare providers, including hospitals, physicians, diagnostics, and ancillary services.
- Medical Provider Contracting – Negotiate with healthcare providers to secure favorable terms and conditions, ensuring cost‑effective care and robust provider revenues.
- Medical Provider Relations – Establish and maintain positive relationships with network providers, addressing concerns promptly and escalating as needed.
- Compliance – Ensure network and contract management comply with all relevant internal and external regulations, local mandates, accreditation standards, and organizational policies.
- Performance Monitoring – Monitor network performance metrics, including cost, quality, and accessibility, 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.
- Technology Utilization – 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 is dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
#J-18808-Ljbffr(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).