Manager, Medical Network Management

Prudential

Hong Kong
Permanent
Full-time

1 month ago

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.This role will oversee and lead Employee Benefit Medical Network, by developing and managing medical provider network and direct billing service.Job Responsibilities:

Provide insights from research / analytics data to develop health strategies, develop proposals and preparation of presentation materials for senior management
Develop and manage medical provider network and direct billing service through business contract negotiation, arrangement of agreed fees, provider training, settlement process and third-party agreements
Ensure excellent delivery of customer experience and value from network providers through performance monitoring, quality assurance, feedback management, daily servicing issue handling and implementation of process improvement initiatives
Engage corporate client, agency and distribution through education, communication and engagement activities to uplift utilization of direct billing service
Research, recommend opportunities on development of medical network and align with company's H&P strategy through business analysis, competitive benchmarking, network coverage and specialty reviews
Support delivery of key improvement initiatives through provision of user requirements
Maintain business continuity by providing administrative support as necessary
Provide support to ad hoc projects and proposition initiatives arising from time to time

Job Requirements:

Degree holder with experience in medical network, clinical or healthcare operations
Minimum 6 years in managing contract negotiations involving medical network providers and with at least 4 years' experience on Employee Benefits, Group Life Insurance
Attentive to details with good analytical, coordination and organizational skills
Good presentation, negotiation and communication skills; strong business acumen
Excellent command of English and Chinese (written and spoken) including Putonghua
Experience in healthcare insurance / healthcare provider market / project management is an advantage
Knowledge in claims and medical terminology is an advantage

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

Prudential

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